Which of the following can be removed for cleaning, especially if the patient has copious or tenacious secretions?
The outer cannula of the tracheostomy tube
The inner cannula of the tracheostomy tube
The obturator
The flange
The Correct Answer is B
Rationale:
A. The outer cannula of the tracheostomy tube should remain in place to maintain the airway and is not removed for routine cleaning.
B. The inner cannula of the tracheostomy tube can be removed, cleaned, or replaced. This helps prevent obstruction, especially when secretions are thick or copious.
C. The obturator is only used during the insertion of a tracheostomy tube and is not part of routine cleaning.
D. The flange secures the tracheostomy tube to the neck and is not removed for cleaning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
Step 1: Microdrip tubing delivers 60 gtt/mL.
Step 2: IV rate = 125 mL/hr.
Step 3: Convert to drops/min:
125 mL/hr × (60 gtt/mL) ÷ (60 min/hr) = 125 gtt/min
Final Answer: D. 125 gtt/min
Correct Answer is D
Explanation
Rationale:
A. The position of the forearm can affect flow if the IV site becomes kinked or compressed.
B. The height of the IV bag/container directly affects gravity flow—the higher the bag, the faster the flow.
C. The relationship of angiocath size to the vein can influence resistance and flow rate.
D. The patient’s weight and height do not affect the gravity flow rate of an IV infusion, making this the correct exception.
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