Exam 21: Artificial Airway Care

Why should the patient's chest be auscultated before tracheostomy care is performed?

A patient on mechanical ventilation is suctioned.The patient's heart rate decreases from 120/minute before the procedure to 66/minute after the procedure.What is the cause of this decrease in the heart rate?

What is defined as the removal of a tracheostomy tube?

Tissue trauma is a hazard of suctioning.All of the following will prevent tissue trauma EXCEPT ____________________

A patient on mechanical ventilation has been suctioned and a large amount of thick secretions are obtained.Which of the following clinical signs would you expect after suctioning?

What is the proper size of a suction catheter to be used through an endotracheal tube or tracheostomy tube?

A physician orders nasotracheal suctioning to be done as needed on a 72 year-old patient with pneumonia.Which of the following would indicate that the patient may have problems clearing secretions from the large/central airways? I.Decreased tactile fremitus II.Increased tactile fremitus III.Clear chest radiograph IV.Diminished breath sounds

Which of the following are absolute contraindications for nasotracheal suctioning?

The patient has been decannulated.The chest radiograph indicates atelectasis in the right lower lobe caused by retained secretions.The patient's cough is weak and non-productive.Since the patient needs to be suctioned periodically,which of the following would be best to facilitate suctioning without reinserting the tracheostomy tube?

Which of the following would help the patient with a tracheostomy talk?

A patient requires nasotracheal suctioning as evidenced by coarse breath sounds.How should the patient be positioned for the procedure?

What should be done to the patient's tracheostomy tube when a Passy-Muir is placed on the tube?

You cannot pass the suction catheter down the endotracheal tube on an intubated patient.What should you do and how would you correct the problems?

Personnel should perform a baseline assessment for indications of respiratory distress and the need for nasotracheal suctioning as recognized by presenting indications.Which of the following would be an assessment that needs to be made by the respiratory care practitioner? I.Oxygen saturation II.Auscultation of chest III.Respiratory rate

When evaluating sputum suctioned from a patient that is being mechanically ventilated,which of the following characteristics should be evaluated? I.Color II.Consistency III.Odor IV.Amount

What is the maximum amount of time that a suction procedure should last?

A patient has just been nasotracheally suctioned by the respiratory care practitioner.What improvements in the patient should occur after the procedure to indicate that the nasotracheal suctioning procedure was effective? I.Improved breath sounds II.Removal of secretions III.Improved blood gas data or pulse oximetry IV.Decreased work of breathing

Before suctioning a patient,you notice that no suction pressure is being generated at the end of the suction catheter when you attempt to suction sterile water through the catheter.What could be causing the problem?

When using a fenestrated tracheostomy tube to facilitate weaning the patient from the tracheostomy tube,what procedure(s)should be performed?

Because suctioning is an invasive procedure,strict aseptic technique should be used at all times to prevent the inadvertent introduction of bacteria into the tracheobronchial tree.Sterile gloves should be used to maintain with all suction catheters EXCEPT _______________