NUR 185
NUR 185 Exam 1 Questions and
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withdrawn.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
NUR 185
, NUR 185
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.
NUR 185
NUR 185 Exam 1 Questions and
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
NUR 185
, NUR 185
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.
NUR 185
