You are setting up a room for your patient that has a new tracheostomy. Select all of the equipment you need bring with to ensure patient is safe should the tracheostomy become dislodged:

Tracheostomy kit setup

Suction equipment

Smaller Tracheostomy Tube and Same size Tracheostomy Tube

Ambu bag

Oxygen

Larger Tracheostomy T

Answer and Explanation

Correct Answer : A,B,C,D,E

A tracheostomy is a surgical procedure that involves creating an opening in the neck to establish a direct airway to the trachea. It is usually done in patients who require long-term mechanical ventilation or have upper airway obstruction. In case the tracheostomy becomes dislodged, the following equipment should be available to ensure the patient's safety:

Tracheostomy kit setup: This includes a new tracheostomy tube, obturator, and other equipment necessary to replace the dislodged tracheostomy tube.

Suction equipment: Dislodgement of the tracheostomy tube can cause airway obstruction due to the presence of secretions. Suction equipment can be used to remove the secretions and prevent airway obstruction.

Smaller Tracheostomy Tube and Same size Tracheostomy Tube: If the dislodged tracheostomy tube cannot be reinserted or is damaged, having smaller and same size tracheostomy tubes available can be helpful in establishing a new airway.

Ambu bag: This is a manual resuscitation device used to provide positive pressure ventilation to the patient. It can be used in case the patient's breathing is compromised due to airway obstruction.

Oxygen: The patient may require supplemental oxygen if their breathing is compromised due to airway obstruction.

Larger Tracheostomy Tube: A larger tracheostomy tube may not be needed immediately and may be contraindicated in some cases as it can cause trauma to the tracheal wall.

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Correct Answer is B

Explanation

During exercise, the heart has to work harder to pump blood and oxygen to the muscles. In patients with stable angina, there is a partial blockage of the coronary arteries, which reduces blood ﬂow and oxygen delivery to the heart muscle. This lack of oxygen to the heart muscles causes chest pain or discomfort, which subsides when the patient stops exercising and is relaxed.

Therefore, it is important for the patient with stable angina to avoid activities that trigger chest pain, take prescribed medications, and make lifestyle modifications to manage their condition.

A. Hypocalcemia B. Hyperkalemia C. Hypernatremia D. Hyponatremia

Correct Answer is D

Explanation

Explanation: The normal range of sodium (Na+) in the blood is 135-145 mEq/L. The patient's sodium level of 121 mEq/L is below the normal range, indicating a low sodium level, which is called hyponatremia.

Hyponatremia is a common electrolyte imbalance that can be caused by a variety of factors, including excessive sweating, vomiting, diarrhea, certain medications, kidney disease, and hormonal imbalances. It can cause symptoms such as nausea, headache, confusion, seizures, and coma, and it can be a medical emergency if the sodium level drops rapidly or severely.

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You are setting up a room for your patient that has a new tracheostomy. Select all of the equipment you need bring with to ensure patient is safe should the tracheostomy become dislodged:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a Cardiac Stress test, a patient complains of chest pain while running The chest pain subsides when he stops running and is relaxed. The patient is diagnosed with Stable angina and is given education by the nurse. He understands the lack of muscles is causing stable angina during exercise.

Correct Answer is B

Explanation

Your patient has a CMP drawn to determine their electrolytes. Only part of the values have resulted including the Na+ which is 121 mEq/l. What type of electrolyte imbalance is the patient having?

Correct Answer is D

Explanation

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