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 B

Explanation

A) Trendelenburg. This position involves tilting the patient with the head lower than the body and can worsen respiratory distress.
B) Tripod. The tripod position maximizes lung expansion by allowing the diaphragm to move freely, improving oxygenation.
C) Supine. The supine position can impair lung expansion and worsen respiratory distress.
D) Low-Fowler's Position. This position may provide minimal respiratory relief but is not as effective as the tripod position.

A. take a good nap B. turn, cough and deep breathe C. submit to a back rub D. take some pain medication

Correct Answer is C

Explanation

A. Take a good nap: While rest is important, shallow breathing and irritability may indicate inadequate ventilation, which won't improve solely with sleep.
B. Turn, cough, and deep breathe: This helps open the airways, promotes alveolar expansion, and clears secretions, which may improve oxygenation and reduce restlessness.
C. Submit to a back rub: Although comforting, it does not directly address shallow breathing or improve oxygenation.
D. Take some pain medication: Pain control can be essential, but this action is premature without assessing whether pain is the cause of shallow breathing.

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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 caring for a client who is experiencing respiratory distress. Which of the following positions should the nurse assist the client into?

Correct Answer is B

Explanation

Your patient is breathing shallowly and seems irritable and restless. A nursing action that might help is to have him:

Correct Answer is C

Explanation

The multiple causes for hypoxia include: (Select all that apply.)

A nurse caring for a patient with a tracheostomy should determine whether the patient needs suctioning by:

A nurse performing oral suctioning on an adult patient should set the wall suction machine so that the suction pressure is between:

A provider is discharging a client with a prescription for home oxygen therapy. The nurse should reinforce which of the following instructions with the client and his family? (Select all that apply.)

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)

A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?

A nurse in a long-term care facility sees a client who is choking. Which of the following data should the nurse identify as requiring an abdominal thrust?

A nurse is caring for a client who has a three-chamber closed chest tube system. Which of the following should the nurse do after noticing a rise in the water seal with client inspiration?