When teaching home tracheotomy care to caregivers of a child with a tracheostomy tube, which of the following topics are essential to include in teaching? Select all that apply.

Maintaining a cool, dry environment to promote airway patency.

Having emergency tracheostomy equipment available at all times.

Changing the tracheostomy tube per ordered frequency.

Monitoring thickness and color of secretions.

Answer and Explanation

Correct Answer : B,C,D

Choice A rationale

While maintaining a cool, dry environment can be comfortable for the child, it is not specifically related to tracheostomy care. Humidity can actually be beneficial for a child with a tracheostomy, as it helps to keep the airway moist and prevent mucus from becoming too thick.

Choice B rationale

Having emergency tracheostomy equipment available at all times is crucial. This should include a spare tracheostomy tube of the same size and one size smaller, suction equipment, and a bag-valve-mask device. In case of a problem with the tracheostomy tube (such as blockage or accidental dislodgement), it is important to have the necessary equipment immediately available.

Choice C rationale

Changing the tracheostomy tube at the ordered frequency is important to prevent blockage and infection. The frequency will depend on various factors, including the type of tracheostomy tube and the child’s specific condition.

Choice D rationale

Monitoring the thickness and color of secretions can help to detect infections or other complications. Changes in secretions can be an early sign of problems such as tracheitis or pneumonia.

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Correct Answer is A

Explanation

Choice A rationale

An 18-month-old who has a high fever, coughs hard, and has a runny nose requires urgent care. High fever in a child can be a sign of a serious infection or other medical condition. The hard coughing could indicate a respiratory issue such as bronchitis or pneumonia, which can be serious in young children. The runny nose is another symptom of a possible respiratory infection.

Choice B rationale

A one-year-old who has a slight fever, a rash, and green secretions may not require urgent care but should still be seen by a healthcare provider. A slight fever can be a sign of a minor infection, which may resolve on its own or with over-the-counter remedies. However, a rash

and green secretions could indicate a bacterial infection, which may require antibiotic treatment.

A. Pain needs to be controlled, children will not eat or drink when in pain and can quickly become dehydrated. B. Report mild ear pain or foul breath after surgery. C. Your child may eat soft foods, no crunchy foods for the first few days. D. Your child will form scabs on their tonsils as they heal, there is no need to worry during this healing period.

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

Explanation

Choice A rationale

After a tonsillectomy, it’s crucial to manage the child’s pain effectively. Pain can deter children from eating or drinking, which can lead to dehydration. Therefore, ensuring that the child’s pain is well managed is an essential part of post-operative care.

Choice B rationale

Mild ear pain or foul breath after surgery are common symptoms following a tonsillectomy. These symptoms do not necessarily indicate a problem, but they should be monitored. If these symptoms persist or worsen, it may be necessary to seek medical attention.

Choice C rationale

After a tonsillectomy, it’s recommended that the child eat soft foods for the first few days. Crunchy foods can irritate the throat and delay healing. Therefore, avoiding crunchy foods initially is an important part of post-operative care.

Choice D rationale

Following a tonsillectomy, it’s normal for the child to form scabs on their tonsils as they heal. This is a normal part of the healing process and is not a cause for concern.

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When teaching home tracheotomy care to caregivers of a child with a tracheostomy tube, which of the following topics are essential to include in teaching? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which child requires urgent care?

Correct Answer is A

Explanation

What instructions must the nurse include in the post-operative discharge instruction for a 6-year-old who just had a tonsillectomy? (Select All That Apply).

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

Explanation

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What instructions should the nurse include in the post-operative discharge instructions for a 6-year-old who just had a tonsillectomy? (Select All That Apply)

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