NUR 185 Exam 1 - Questions With Clear Solutions
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Terms in this set (96)
What are the nursing interventions for Provide oxygen following trach suctioning.
Tracheostomy?
In what order do you suction a 1. Wash hands, wear a face shield, use sterile
tracheostomy? technique.
2. Use lubricant.
3. Oxygenate patient before suctioning.
4. Apply suction intermittently while rotating catheter
back & forth as it is
withdrawn.
5. Suction should be no more than 10-15 seconds.
6. Rinse the catheter by suctioning normal saline
through it
7. Oxygenate patient again after suctioning.
How do you care for a tracheostomy? 1. Use Standard Precautions
2. Suction the tracheostomy before removing the old
dressings.
3. Don sterile gloves to remove and clean the inner
cannula. (Note that the nurse does not remove the
outer cannula.)
4 Use a sterile solution of normal saline or other
solution per agency procedure to clean the inner
cannula.
5. Reinsert inner cannula in outer cannula.
6. Change tracheostomy ties & dressings
, What are the nursing interventions for 1. Provide the patient with a communication board.
a ventilator? 2. Provide suctioning PRN to prevent airway
obstruction.
3. Provide alternative means of nutrition via TPN or
G-tube feeds per orders to meet patients' nutritional
needs.
4. Provide IV antibiotics to prevent ventilator
associated pneumonia (VAP).
5. Check patient's ventilator settings against orders.
Timed-Cycled Ventilators Terminate or Control Inspriation after a present time-
--Volume of air regulated by length of inspiration and
flow rate of air---Pure time cycled rarely used in
adults, mostly in Newborns or Infants
Volume cycled ventilator ventilator forces air into the lungs until a preset
volume is delivered (Tidal volume is delivered
regardless of compliance).
Pressure cycled ventilators Pushes air into the lungs until a preset pressure is
reached
Oral Airway Inserted into the MOUTH ONLY
Nasal Airway Inserted into the MOUTH, extend to the base of the
TONGUE.
Endotracheal Inserted through MOUTH or NOSE into the
TRACHEA
Tracheostomy Tube A tracheostomy tube is a surgically created opening
through the
neck into the trachea.
CPAP (continuous positive airway Requires a mask during sleep. Maintains airway
pressure) during & prevent
apnea during sleep.
Save
Terms in this set (96)
What are the nursing interventions for Provide oxygen following trach suctioning.
Tracheostomy?
In what order do you suction a 1. Wash hands, wear a face shield, use sterile
tracheostomy? technique.
2. Use lubricant.
3. Oxygenate patient before suctioning.
4. Apply suction intermittently while rotating catheter
back & forth as it is
withdrawn.
5. Suction should be no more than 10-15 seconds.
6. Rinse the catheter by suctioning normal saline
through it
7. Oxygenate patient again after suctioning.
How do you care for a tracheostomy? 1. Use Standard Precautions
2. Suction the tracheostomy before removing the old
dressings.
3. Don sterile gloves to remove and clean the inner
cannula. (Note that the nurse does not remove the
outer cannula.)
4 Use a sterile solution of normal saline or other
solution per agency procedure to clean the inner
cannula.
5. Reinsert inner cannula in outer cannula.
6. Change tracheostomy ties & dressings
, What are the nursing interventions for 1. Provide the patient with a communication board.
a ventilator? 2. Provide suctioning PRN to prevent airway
obstruction.
3. Provide alternative means of nutrition via TPN or
G-tube feeds per orders to meet patients' nutritional
needs.
4. Provide IV antibiotics to prevent ventilator
associated pneumonia (VAP).
5. Check patient's ventilator settings against orders.
Timed-Cycled Ventilators Terminate or Control Inspriation after a present time-
--Volume of air regulated by length of inspiration and
flow rate of air---Pure time cycled rarely used in
adults, mostly in Newborns or Infants
Volume cycled ventilator ventilator forces air into the lungs until a preset
volume is delivered (Tidal volume is delivered
regardless of compliance).
Pressure cycled ventilators Pushes air into the lungs until a preset pressure is
reached
Oral Airway Inserted into the MOUTH ONLY
Nasal Airway Inserted into the MOUTH, extend to the base of the
TONGUE.
Endotracheal Inserted through MOUTH or NOSE into the
TRACHEA
Tracheostomy Tube A tracheostomy tube is a surgically created opening
through the
neck into the trachea.
CPAP (continuous positive airway Requires a mask during sleep. Maintains airway
pressure) during & prevent
apnea during sleep.
