Answers | Latest Version | 2025/2026 |
Correct & Verified
A nurse is preparing to suction a client's tracheostomy. Which of the following should the nurse
do first?
a. Apply suction while inserting the catheter
✔✔ b. Hyperoxygenate the client
c. Suction for at least 30 seconds
d. Instill saline before suctioning
Which oxygen delivery device delivers the highest concentration of oxygen?
a. Nasal cannula
b. Simple face mask
✔✔ c. Non-rebreather mask
d. Venturi mask
A client is receiving oxygen via nasal cannula at 2 L/min. Which of the following interventions is
appropriate?
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, ✔✔ a. Assess for skin breakdown on the ears
b. Set oxygen humidification at 10 L/min
c. Instruct the client to remove it every hour
d. Switch to a mask if the client is sleeping
Which action is appropriate when performing oropharyngeal suctioning?
a. Use sterile gloves only
✔✔ b. Insert the catheter without suction
c. Apply suction while inserting
d. Limit suctioning to 30 seconds
Which of the following is a complication of prolonged oxygen therapy at high concentrations?
a. Hypovolemia
b. Respiratory alkalosis
✔✔ c. Oxygen toxicity
d. Atelectasis
A nurse notes that a tracheostomy tube is dislodged. What is the nurse’s first action?
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