Exam 25: Airway Management

The nurse is providing care to a patient with a tracheostomy tube that has an inner cannula.Which intervention by the nurse follows proper procedure for tracheostomy tube care?

The nurse is evaluating a patient to determine whether the endotracheal tube cuff is properly inflated.Which findings indicate proper inflation? (Select all that apply.)

When assessing a patient's tracheostomy site, the nurse notes redness and inflammation around the stoma.Which intervention can the nurse provide to address this problem?

Too much oxygen reduces the drive to breathe in patients with chronic _____________.

A patient using a nasal cannula has gurgling on inspiration.The nurse notes a productive cough but the inability to clear the secretions from the mouth.Which action should the nurse take first to prepare for oropharyngeal suctioning?

The nurse is performing nasotracheal suctioning for a patient.Which action by the nurse is appropriate?

A patient on mechanical ventilation with an endotracheal tube requires suctioning.A closed in-line catheter is in place.Which action by the nurse is appropriate?

A patient with head trauma following a motor vehicle accident is on mechanical ventilation with an endotracheal tube.Which action by the nurse will reduce the risk for elevations in intracranial pressure during suctioning?

A _______________ is inserted directly into the trachea through a small incision made in the patient's neck.

A patient with a tracheostomy tube has thick, tenacious mucus that is difficult to remove.The nurse should choose which technique to suction the airway?

The nurse is performing nasotracheal suctioning on a patient.The nurse should discontinue the suctioning if which of the following occurs?

The nurse is providing care to a patient on mechanical ventilation with an endotracheal tube.The nurse carefully inflates the cuff of the endotracheal tube using the minimal leak method, knowing that a properly inflated cuff provides which benefits to the patient? (Select all that apply.)

The nurse is assessing a patient with an endotracheal tube and notes an audible air leak when standing by the patient.Which intervention should the nurse perform first to address this problem?

The nurse is caring for a patient on mechanical ventilation with an endotracheal tube.Which nursing interventions will help prevent ventilator-associated pneumonia (VAP)? (Select all that apply.)

A patient with increased secretions may develop airway obstruction.The nurse can promote a patent airway by using which of the following techniques? (Select all that apply.)

The nurse is caring for a patient with an oral endotracheal tube in place.Which intervention by the nurse demonstrates proper procedure when providing endotracheal tube care?

The student nurse is preparing to perform nasotracheal suctioning on an adult patient wearing a face mask.Which action by the student should the nursing instructor question?

The nurse is assessing a patient who is intubated and on a ventilator.When listening above the sternal notch with a stethoscope, the nurse notes a minimal amount of air leak at the end of inspiration.Which action by the nurse is appropriate?

A patient has been on mechanical ventilation with an endotracheal tube for 1 week.Which intervention by the nurse will help prevent ventilator-associated pneumonia (VAP)?

The nurse is providing nasotracheal suctioning for a 13-year-old patient with secretions in the throat and trachea.Which action by the nurse demonstrates proper technique?