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 D

Explanation

A. Clamp the chest tube and place the patient in high Fowler’s position: Clamping the tube may cause tension pneumothorax and should be done only with a specific prescription.
B. Immediately turn the patient to the side of the insertion site: This action does not address the source of constant bubbling.
C. Document findings: Bubbling in the suction chamber can be normal, but documenting without further assessment may overlook potential system issues.
D. Check for air leaks in the drainage system: Constant bubbling may indicate an air leak, which requires immediate assessment and correction.

A. A nonrebreather mask B. A simple face mask C. A Venturi mask D. A partial rebreathing mask

Correct Answer is C

Explanation

A. A nonrebreather mask: This provides high concentrations of oxygen (60% to 100%) and lacks precise control over oxygen delivery.
B. A simple face mask: Delivers oxygen concentrations between 40% and 60%, but the oxygen concentration varies depending on the client's breathing pattern.
C. A Venturi mask: Provides precise and consistent oxygen delivery, making it the best choice for clients needing an exact concentration of 40% oxygen.
D. A partial rebreathing mask: Delivers concentrations between 50% and 75% without precise control.

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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 nurse caring for a patient with a water seal type chest drainage that is on low suction assesses that there is constant bubbling in the suction container. The nurse should:

Correct Answer is D

Explanation

A patient requires a precise concentration of 40% oxygen. Which of the following devices would best allow for this?

Correct Answer is C

Explanation

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 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?

The nurse takes into consideration that while caring for a patient on oxygen therapy, safety precautions should be observed, which include:

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

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 is aware that changes occur in the respiratory system after the age of 70 that put the older adult more at risk for respiratory problems. These changes include: (Select all that apply.)

The nurse performing tracheostomy care will: