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","C","D"]

Explanation

Choice A rationale

Albuterol is a bronchodilator, which means it works by relaxing the muscles around the airways in the lungs. This allows the airways to open up, making it easier for the child to breathe.

Choice C rationale

Albuterol can help reduce wheezing, a common symptom of asthma. Wheezing occurs when the airways are narrowed or blocked, causing a whistling sound when the child breathes. By opening the airways, albuterol can help alleviate this symptom.

Choice D rationale

Albuterol can also decrease coughing and shortness of breath, two other common symptoms of asthma. By improving airflow in the lungs, albuterol can help the child breathe more easily and comfortably.

A. An 18-month-old who has high fever, coughs hard, and has a runny nose. B. A one-year-old who has a slight fever, a rash, and green secretions.

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.

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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

A nurse is caring for a child with asthma who is prescribed to use an albuterol inhaler with a spacer. The parents ask how albuterol helps the child’s breathing.Which of the following responses will the nurse include? Select all that apply.

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

Explanation

Which child requires urgent care?

Correct Answer is A

Explanation

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