NUR 185 Exam 1 Questions With Correct
Answers
What |are |the |nursing |interventions |for |Tracheostomy?
Provide |oxygen |following |trach |suctioning.
In |what |order |do |you |suction |a |tracheostomy?
1. |Wash |hands, |wear |a |face |shield, |use |sterile |technique.
2. |Use |lubricant.
3. |Oxygenate |patient |before |suctioning.
4. |Apply |suction |intermittently |while |rotating |catheter |back |& |forth |as |it |is
withdrawn.
5. |Suction |should |be |no |more |than |10-15 |seconds.
6. |Rinse |the |catheter |by |suctioning |normal |saline |through |it
7. |Oxygenate |patient |again |after |suctioning.
How |do |you |care |for |a |tracheostomy?
1. |Use |Standard |Precautions
2. |Suction |the |tracheostomy |before |removing |the |old |dressings.
3. |Don |sterile |gloves |to |remove |and |clean |the |inner |cannula. |(Note |that |the |nurse |does |not |
remove |the |outer |cannula.)
4 |Use |a |sterile |solution |of |normal |saline |or |other |solution |per |agency |procedure |to |clean |the |
inner |cannula.
5. |Reinsert |inner |cannula |in |outer |cannula.
6. |Change |tracheostomy |ties |& |dressings
What |are |the |nursing |interventions |for |a |ventilator?
1. |Provide |the |patient |with |a |communication |board.
2. |Provide |suctioning |PRN |to |prevent |airway |obstruction.
3. |Provide |alternative |means |of |nutrition |via |TPN |or |G-tube |feeds |per |orders |to |meet |patients'
|nutritional |needs.
4. |Provide |IV |antibiotics |to |prevent |ventilator |associated |pneumonia |(VAP).
5. |Check |patient's |ventilator |settings |against |orders.
, Timed-Cycled |Ventilators
Terminate |or |Control |Inspriation |after |a |present |time---Volume |of |air |regulated |by |length |of |
inspiration |and |flow |rate |of |air---Pure |time |cycled |rarely |used |in |adults, |mostly |in |Newborns |or
|Infants
Volume |cycled |ventilator
ventilator |forces |air |into |the |lungs |until |a |preset |volume |is |delivered |(Tidal |volume |is |delivered
|regardless |of |compliance).
Pressure |cycled |ventilators
Pushes |air |into |the |lungs |until |a |preset |pressure |is |reached
Oral |Airway
Inserted |into |the |MOUTH |ONLY
Nasal |Airway
Inserted |into |the |MOUTH, |extend |to |the |base |of |the |TONGUE.
Endotracheal
Inserted |through |MOUTH |or |NOSE |into |the |TRACHEA
Tracheostomy |Tube
A |tracheostomy |tube |is |a |surgically |created |opening |through |the
neck |into |the |trachea.
CPAP |(continuous |positive |airway |pressure)
Requires |a |mask |during |sleep. |Maintains |airway |during |& |prevent
apnea |during |sleep.
Ventilator
A |Machine |that |delivers |predetermine |parentage |of |oxygen |to |assist |for |breathing.
Chest |Tube
Drain |inserted |into |chest |cavity |to |re-expand |the |lung |or |for
draining.
Non-Rebreather |Mask
Delivers |100% |oxygen |to |the |patient. |Set |oxygen |between |10-15 |liters.
Answers
What |are |the |nursing |interventions |for |Tracheostomy?
Provide |oxygen |following |trach |suctioning.
In |what |order |do |you |suction |a |tracheostomy?
1. |Wash |hands, |wear |a |face |shield, |use |sterile |technique.
2. |Use |lubricant.
3. |Oxygenate |patient |before |suctioning.
4. |Apply |suction |intermittently |while |rotating |catheter |back |& |forth |as |it |is
withdrawn.
5. |Suction |should |be |no |more |than |10-15 |seconds.
6. |Rinse |the |catheter |by |suctioning |normal |saline |through |it
7. |Oxygenate |patient |again |after |suctioning.
How |do |you |care |for |a |tracheostomy?
1. |Use |Standard |Precautions
2. |Suction |the |tracheostomy |before |removing |the |old |dressings.
3. |Don |sterile |gloves |to |remove |and |clean |the |inner |cannula. |(Note |that |the |nurse |does |not |
remove |the |outer |cannula.)
4 |Use |a |sterile |solution |of |normal |saline |or |other |solution |per |agency |procedure |to |clean |the |
inner |cannula.
5. |Reinsert |inner |cannula |in |outer |cannula.
6. |Change |tracheostomy |ties |& |dressings
What |are |the |nursing |interventions |for |a |ventilator?
1. |Provide |the |patient |with |a |communication |board.
2. |Provide |suctioning |PRN |to |prevent |airway |obstruction.
3. |Provide |alternative |means |of |nutrition |via |TPN |or |G-tube |feeds |per |orders |to |meet |patients'
|nutritional |needs.
4. |Provide |IV |antibiotics |to |prevent |ventilator |associated |pneumonia |(VAP).
5. |Check |patient's |ventilator |settings |against |orders.
, Timed-Cycled |Ventilators
Terminate |or |Control |Inspriation |after |a |present |time---Volume |of |air |regulated |by |length |of |
inspiration |and |flow |rate |of |air---Pure |time |cycled |rarely |used |in |adults, |mostly |in |Newborns |or
|Infants
Volume |cycled |ventilator
ventilator |forces |air |into |the |lungs |until |a |preset |volume |is |delivered |(Tidal |volume |is |delivered
|regardless |of |compliance).
Pressure |cycled |ventilators
Pushes |air |into |the |lungs |until |a |preset |pressure |is |reached
Oral |Airway
Inserted |into |the |MOUTH |ONLY
Nasal |Airway
Inserted |into |the |MOUTH, |extend |to |the |base |of |the |TONGUE.
Endotracheal
Inserted |through |MOUTH |or |NOSE |into |the |TRACHEA
Tracheostomy |Tube
A |tracheostomy |tube |is |a |surgically |created |opening |through |the
neck |into |the |trachea.
CPAP |(continuous |positive |airway |pressure)
Requires |a |mask |during |sleep. |Maintains |airway |during |& |prevent
apnea |during |sleep.
Ventilator
A |Machine |that |delivers |predetermine |parentage |of |oxygen |to |assist |for |breathing.
Chest |Tube
Drain |inserted |into |chest |cavity |to |re-expand |the |lung |or |for
draining.
Non-Rebreather |Mask
Delivers |100% |oxygen |to |the |patient. |Set |oxygen |between |10-15 |liters.
