2
Nursing School Test Banks
Chapter 28: Care of Patients Requiring Oxygen
Therapy or Tracheostomy
Chapter 28: Care of Patients Requiring Oxygen Therapy or
Tracheostomy Ignatavicius: Medical-Surgical Nursing, 8th
Edition
MULTIPLE CHOICE
1. A nursing student caring for a client removes the client’s oxygen as prescribed. The client is now brea
percentage of oxygen in the room air?
a. 14%
b. 21%
c. 28%
d.
31%
ANS:
B
Room air is 21% oxygen.
DIF: Remembering/Knowledge REF: 514
, 2
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
2. A client is scheduled to have a tracheostomy placed in an hour. What action by the nurse is the priori
a. Administer prescribed anxiolytic medication.
b. Ensure informed consent is on the chart.
c. Reinforce any teaching done previously.
d. Start the preoperative antibiotic infusion.
ANS: B
Since this is an operative procedure, the client must sign an informed consent, whi
the chart. Giving anxiolytics and antibiotics and reinforcing teaching may also be re
not take priority.
This study source was downloaded by 100000848934517 from CourseHero.com on 06-18-2022 07:28:25 GMT -05:00
DhItFtps::/A/wpwwp.cloyurisnehger/oA.copm/pfillei/c41a83t7i7o43n/ChRapEteFr-2: 85-C2ar2e-of-Patients-Requiring-Oxygen-Therapy-or-Tracheostomy-Nu
, 2
KEY: Informed consent| autonomy
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of
3. A client has a tracheostomy that is 3 days old. Upon assessment, the nurse notes the client’s face is p
eyelids are swollen. What action by the nurse takes priority?
a. Assess the client’s oxygen saturation.
b. Notify the Rapid Response Team.
c. Oxygenate the client with a bag-valve-mask.
d. Palpate the skin of the upper chest.
ANS: A
This client may have subcutaneous emphysema, which is air that leaks into the tiss
surrounding the tra- cheostomy. The nurse should first assess the client’s oxygen sa
other indicators of oxygenation. If the client is stable, the nurse can palpate the ski
chest to feel for the air. If the client is unstable, the nurse calls the Rapid Response
bag-valve-mask device may or may not be appropriate for the unstable client.
DIF: Applying/Application REF: 523
KEY: Oxygenation| tracheostomy| nursing
assessment MSC: Integrated Process: Nursing
Process: Assessment
NOT: Client Needs Category: Safe and Effective Care Environment: Management of
4. A client has a tracheostomy tube in place. When the nurse suctions the client, food particles are note
by the nurse is best?
a. Elevate the head of the client’s bed.
b. Measure and compare cuff pressures.
c. Place the client on NPO status.
d. Request that the client have a swallow study.
ANS: B
Constant pressure from the tracheostomy tube cu ff can cause tracheomalacia, lead
Nursing School Test Banks
Chapter 28: Care of Patients Requiring Oxygen
Therapy or Tracheostomy
Chapter 28: Care of Patients Requiring Oxygen Therapy or
Tracheostomy Ignatavicius: Medical-Surgical Nursing, 8th
Edition
MULTIPLE CHOICE
1. A nursing student caring for a client removes the client’s oxygen as prescribed. The client is now brea
percentage of oxygen in the room air?
a. 14%
b. 21%
c. 28%
d.
31%
ANS:
B
Room air is 21% oxygen.
DIF: Remembering/Knowledge REF: 514
, 2
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
2. A client is scheduled to have a tracheostomy placed in an hour. What action by the nurse is the priori
a. Administer prescribed anxiolytic medication.
b. Ensure informed consent is on the chart.
c. Reinforce any teaching done previously.
d. Start the preoperative antibiotic infusion.
ANS: B
Since this is an operative procedure, the client must sign an informed consent, whi
the chart. Giving anxiolytics and antibiotics and reinforcing teaching may also be re
not take priority.
This study source was downloaded by 100000848934517 from CourseHero.com on 06-18-2022 07:28:25 GMT -05:00
DhItFtps::/A/wpwwp.cloyurisnehger/oA.copm/pfillei/c41a83t7i7o43n/ChRapEteFr-2: 85-C2ar2e-of-Patients-Requiring-Oxygen-Therapy-or-Tracheostomy-Nu
, 2
KEY: Informed consent| autonomy
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of
3. A client has a tracheostomy that is 3 days old. Upon assessment, the nurse notes the client’s face is p
eyelids are swollen. What action by the nurse takes priority?
a. Assess the client’s oxygen saturation.
b. Notify the Rapid Response Team.
c. Oxygenate the client with a bag-valve-mask.
d. Palpate the skin of the upper chest.
ANS: A
This client may have subcutaneous emphysema, which is air that leaks into the tiss
surrounding the tra- cheostomy. The nurse should first assess the client’s oxygen sa
other indicators of oxygenation. If the client is stable, the nurse can palpate the ski
chest to feel for the air. If the client is unstable, the nurse calls the Rapid Response
bag-valve-mask device may or may not be appropriate for the unstable client.
DIF: Applying/Application REF: 523
KEY: Oxygenation| tracheostomy| nursing
assessment MSC: Integrated Process: Nursing
Process: Assessment
NOT: Client Needs Category: Safe and Effective Care Environment: Management of
4. A client has a tracheostomy tube in place. When the nurse suctions the client, food particles are note
by the nurse is best?
a. Elevate the head of the client’s bed.
b. Measure and compare cuff pressures.
c. Place the client on NPO status.
d. Request that the client have a swallow study.
ANS: B
Constant pressure from the tracheostomy tube cu ff can cause tracheomalacia, lead
