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

be monitored for respiratory rate

have the cuff pressure checked

have the pharynx suctioned

be administered extra oxygen

Answer and Explanation

The Correct Answer is C

A. Be monitored for respiratory rate: Important for ongoing assessment but not directly related to the deflation process.
B. Have the cuff pressure checked: Necessary during care but not immediately before deflation.
C. Have the pharynx suctioned: Suctioning clears secretions that could be aspirated when the cuff is deflated.
D. Be administered extra oxygen: Beneficial but not a direct prerequisite for cuff deflation.

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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.

A. Assist the client to Fowler's position B. Promote removal of pulmonary secretions C. Increase the oxygen flow D. Obtain a specimen for arterial blood gases

Correct Answer is A

Explanation

A. Assist the client to Fowler's position: This position helps maximize lung expansion, making it easier for the client to breathe.
B. Promote removal of pulmonary secretions: Important but secondary to addressing immediate respiratory distress.
C. Increase the oxygen flow: This should only be done per provider order to avoid complications such as oxygen toxicity.
D. Obtain a specimen for arterial blood gases: This is a diagnostic step but not an immediate intervention for difficulty breathing.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

A nurse is caring for a client who is having difficulty breathing. The client is lying in bed and is already receiving oxygen therapy via nasal cannula. Which of the following interventions is the nurse's priority?

Correct Answer is A

Explanation

The nurse monitoring patients eating in the dining room of a skilled nursing facility notes that a patient begins choking. As the nurse prepares to deliver the Heimlich maneuver, the fist should be positioned:

A nurse is reinforcing teaching with a newly licensed nurse about tracheostomy care for a toddler. Which of the following instructions should the nurse include in the teaching?

A nurse is collecting data from a client who has a respiratory disorder and displays manifestations of hypoxia. Which of the following findings should the nurse expect?

The nurse clarifies that the condition in which there is a decreased amount of oxygen in the blood is:

The nurse assists the patient with emphysema into the most beneficial position to facilitate respiration, which is:

What is the most common cause of airway obstruction in the unconscious person?

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.)

A nurse is preparing to suction the airway of a client who has a tracheostomy. Identify the sequence of actions the nurse should take after performing hand hygiene. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)