The nurse recognizes that, immediately before a tracheostomy cuff deflation, the patient should:

be monitored for respiratory rate

have the cuff pressure checked

have the pharynx suctioned

be administered extra oxygen

Answer and Explanation

The Correct Answer is C

A. Be monitored for respiratory rate: Important for ongoing assessment but not directly related to the deflation process.
B. Have the cuff pressure checked: Necessary during care but not immediately before deflation.
C. Have the pharynx suctioned: Suctioning clears secretions that could be aspirated when the cuff is deflated.
D. Be administered extra oxygen: Beneficial but not a direct prerequisite for cuff deflation.

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Correct Answer is ["A","C"]

Explanation

A. Raise the head of the bed to high Fowler's position: This promotes optimal lung expansion and drainage, reduces aspiration risk, and facilitates easier tracheostomy care.
B. Remove the inner cannula with the ungloved hand: Sterile technique is required when handling the inner cannula to prevent infection.
C. Suction tracheostomy before beginning care: Suctioning clears secretions and ensures better visibility for care, reducing the risk of aspiration during the procedure.
D. Clean cannula with gauze and replace and lock: The inner cannula should be cleaned per protocol using sterile saline and replaced securely.

A. apply suction while advancing the catheter into the airway B. insert the non lubricated catheter into the nasal passage. C. Osuction the nasotracheal passage after suctioning the mouth D. hold the catheter with the dominant hand after donning sterile gloves

Correct Answer is D

Explanation

A. Apply suction while advancing the catheter into the airway: This increases the risk of tissue trauma and should be avoided. Suction should only be applied during withdrawal.
B. Insert the non-lubricated catheter into the nasal passage: Lubrication is necessary to prevent nasal tissue trauma and facilitate smoother insertion.
C. Suction the nasotracheal passage after suctioning the mouth: Suctioning the mouth first introduces contamination into the sterile airway, increasing the risk of infection.
D. Hold the catheter with the dominant hand after donning sterile gloves: This technique maintains sterility and prevents contamination of the catheter during the procedure.

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The nurse recognizes that, immediately before a tracheostomy cuff deflation, the patient should:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse performing tracheostomy care will:

Correct Answer is ["A","C"]

Explanation

A patient requires suctioning via the nasotracheal route. In order to perform this procedure safely, the nurse should:

Correct Answer is D

Explanation

A nurse is nasopharyngeal suctioning an adult patient to remove thick secretions. The nurse will:

Which of the following is not considered an adventitious lung sound upon auscultation:

Which is a function of the respiratory system?

The nurse clarifies that the cough mechanism is stimulated when:

The nurse assists the patient with emphysema into the most beneficial position to facilitate respiration, which is:

The nurse takes into consideration that while caring for a patient on oxygen therapy, safety precautions should be observed, which include:

The nurse takes into consideration that a pulse oximeter may not give an accurate reading if the patient is:

The nurse would determine that this patient is aware of how to use the incentive spirometer device properly when the patient: