The nurse recognizes that a postoperative patient who can breathe independently but has trouble maintaining an airway because of the tongue falling back into the throat would be best benefitted by a(n)

endotracheal tube

partial rebreather oxygen mask

tracheostomy

pharyngeal airway

Answer and Explanation

The Correct Answer is D

A) Endotracheal tube. An endotracheal tube is invasive and used for patients who require mechanical ventilation, not for simple airway maintenance.
B) Partial rebreather oxygen mask. A partial rebreather mask is used to deliver oxygen, not to maintain airway patency.
C) Tracheostomy. A tracheostomy is a surgical procedure for long-term airway management and is unnecessary in this scenario.
D) Pharyngeal airway. A pharyngeal airway helps maintain airway patency by preventing the tongue from obstructing the airway.

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Correct Answer is C

Explanation

A) "Repeat your breathing exercise every 2 hrs." Repeating breathing exercises should be done a couple of times every hour to help prevent postoperative complications such as atelectasis and pneumonia.
B) "Inhale through your mouth." Clients should inhale through their nose to filter, warm, and humidify the air.
C) "Hold your breath for 5 seconds." Holding the breath for 5 seconds allows for better lung expansion and optimal oxygen exchange.
D) "Exhale through your nose." Clients are generally advised to exhale through pursed lips to create positive airway pressure and prevent airway collapse.

A. A nasal cannula B. A Venturi mask C. A humidifier D. High oxygen flow rate

Correct Answer is C

Explanation

A. A nasal cannula: May cause further nasal irritation and is not ideal for patients with sinus disorders.
B. A Venturi mask: Provides precise oxygen delivery but does not address sinus-related discomfort.
C. A humidifier: Helps add moisture to the oxygen, reducing nasal and sinus irritation and improving comfort.
D. High oxygen flow rate: High flow rates without humidification exacerbate sinus irritation.

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The nurse recognizes that a postoperative patient who can breathe independently but has trouble maintaining an airway because of the tongue falling back into the throat would be best benefitted by a(n)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing preoperative teaching for a client about coughing and deep breathing. Which of the following statements should the nurse make?

Correct Answer is C

Explanation

A patient who will begin oxygen therapy has a history of sinus disorders. This patient would benefit most from which oxygen setup?

Correct Answer is C

Explanation

The nurse performing tracheostomy care will:

The nurse loosens mucus plugs by using percussion on a patient over the area of the:

The nurse recognizes that, immediately before a tracheostomy cuff deflation, the patient should:

The nurse instructing the patient to perform forceful exhalation coughing would instruct the patient to take in:

A nurse is reinforcing teaching with a newly licensed nurse about a nonrebreather mask. Which of the following instructions should the nurse include?

A nurse is attending a social gathering when another guest suddenly coughs weakly once, grasps her throat with her hands, and cannot talk. Which of the following actions should the nurse take?

The nurse clarifies that the cough mechanism is stimulated when:

The nurse would determine that this patient is aware of how to use the incentive spirometer device properly when the patient: