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nursing 113 unit 2 exam study guide George C Wallace State Community College-Hanceville NUR 112 Questions with 100% Verified Answers Latest Update

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nursing 113 unit 2 exam study guide George C Wallace State Community College-Hanceville NUR 112 Questions with 100% Verified Answers Latest Update

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nursing 113 unit 2 exam study guide George C Wallace State
Community College-Hanceville NUR 112 Questions with 100% Verified
Answers Latest Update

Question: Answer:
nursing diagnosis for respiratory distress ineffective gas exchange, ineffective airway clearance, ineffective
breathing pattern


Question: Answer:
nursing procedures to help restore and maintain ventilation raise HOB, give oxygen, turn cough deep breathe (respiratory
toileting), spirometer


Question: Answer:
signs of respiratory distress patient statement, stridor, nasal flaring, labored breathing, tripod
position, accessory
muscles being used, dyspnea, change in mentation (mental status),
low o2 saturation,
change in vitals, medication (cause sedation)


Question: Answer:
The different types of medical devices used to maintain or the oropharyngeal airway (OPA), nasopharyngeal airway (NPA), and
open an individual's airway include endotracheal airway
(ETA).


Question: Answer:
OPA (oral pharyngeal airway) medical device that is used to maintain or open an individual's airway
by preventing the
tongue from covering the epiglottis, a small flap in the throat.




Question: Answer:
The OPA is typically used in unresponsive individuals. true

,Question: Answer:
the ______ is a tube that is passed through the nasal passageway NPA
to secure an open airway. 2 multiple choice options




Question: Answer:
NPAs are better tolerated than OPAs and may be considered true
when OPA use is difficult, such as when an individual's jaw is 1 multiple choice option
clenched or the individual is responsive.


Question: Answer:
________ is a plastic tube that is inserted through the mouth and ETA
into the trachea or windpipe. 2 multiple choice options




Question: Answer:
The _______ is then connected to a ventilator, which ETA
mechanically delivers oxygen to the lungs. 2 multiple choice options


Question: Answer:
someone with a tracheostomy will receive all oxygen where neck
3 multiple choice options


Question: Answer:
physician order for a tracheostomy will include the type of trach

,Question: Answer:
tracheostomy cuff A tracheostomy tube with inflated cuff is used in clients who are at
risk for aspiration




Question: Answer:
TRACHE acronym T- tapes (keep tube secure)
R- resuscitation (know the process)
A- airway clear (use correct suction technique)
C- care of the site (stoma and neck)
H- humidity (essential to keeping tube clear)
E- emergency (have the equipment present)




Question: Answer:
what to do if a new tracheostomy tube comes out call HCP and basically a code
they must be reintubated through an endotracheal tube because the
trach is closed up


Question: Answer:
what to do if a matured tracheostomy tube comes out call HCP
trach tube may be able to be reinserted


Question: Answer:
bedside equipment for a trach patient ambu bag, oxygen source, suction, trach of same size, trach of
smaller size, obturator
(helps insert trach)


Question: Answer:
Signs of mucus plugs drop in o2 sat, diminished lung sounds, change in vitals

, Question: Answer:
mucus plug (tracheostomy) mucus that plugs the airway, making it difficult/impossible for the
patient to breathe


Question: Answer:
how to prevent a mucus plug adequate airway maintenance (appropriate suction)


Question: Answer:
tracheostomy patients are typically suctioned when? 2-3 times a shift or as needed


Question: Answer:
what technique is used to suction a tracheostomy sterile
2 multiple choice options


Question: Answer:
what is a tracheostomy stoma cleaned with sterile saline
1 multiple choice option


Question: Answer:
challenges of patients with a tracheostomy talking, swallowing, eating, infection, skin breakdown


Question: Answer:
most common diet for a patient with a tracheostomy NPO
3 multiple choice options


Question: Answer:
patients with tracheostomies usually get nutrients by tube feed, iv nutrition


Question: Answer:
signs of co2 retention -confusion, headache, decreased LOC, agitation, apnea, coma


Question: Answer:
Tracheostomy Collar/ Mask Inserted directed into trachea
Is indicated for chronic 02 therapy need

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