Trach Care Part 3

A nurse is preparing to change the neck ties on a tracheostomy tube. To perform a safe procedure, the nurse would plan to:

Have a second health team member to assist.

The nurse is suctioning a client. What should the nurse monitor during suctioning?

Pulse oximetry

Which of the following interventions is used to minimize the risk of infections for the client with a tracheostomy? (Select all that apply.)

a. Change all respiratory therapy equipment every 8 hours. b. Remove the water that condenses in the equipment tubing. c. Provide frequent oral care.

The nurse is preparing to suction a client through a tracheostomy tube. Which nursing actions are appropriate and safe for this procedure? (Select all that apply.)

a. Moistening the catheter tip in sterile saline solution before suctioning b. Preoxygenate the patient before suctioning. c. Introducing the catheter into the tracheostomy tube using a sterile gloved hand. d. Assessing the lungs prior to the procedure.

The recommended catheter length inserted to suction the adult client is:

1-2 inches.

The nurse is weighing a client and she weighs 51 kgs. She asks the nurse what that is in pounds. the nurse responds __________lbs (round to nearest tenth.) FILL IN THE BLANK

112.2

The client has a medication ordered to be given at 5:30 pm, how would the nurse document that in international time?

1730

A nurse is caring for a client following a tracheostomy 2 days ago. The nurse enters the room and notices that the tracheostomy tube is no longer in place. What is the nurse's first action?

Obtain an obturator and a spare tracheostomy tube from the head of the bed and reinsert, if possible.

Which of the following interventions should be included when caring for a client with a tracheostomy?

Provide the client with materials for non-verbal communication

A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this client's secretions?

Provide humidified oxygen.