WITH 100% ACCURATE SOLUTIONS
A nurse is trying to determine whether or not a patient's artificial airway should be suctioned. Which of
the following is NOT an indication for suctioning? - ✅✅✅CORRECT -Patient has audible gurgling and
appears restlessness
The student nurse is observing the staff nurse perform routine tracheostomy care. Which of the
following actions, if made by the staff nurse, would be inappropriate? - ✅✅✅CORRECT -The nurse
removes the soiled trach. ties, cleans the flange, and applies new tracheostomy ties, securing them
tightly behind the patient's neck.
The nurse is going to perform inline trachesotomy suctioning followed by trachesotomy care (using a
disposable inner cannula). Which of the following is an incorrect step in the sequence for these
procedures? - ✅✅✅CORRECT -Apply clean gloves, removes exhisting inner cannula. Clean around
stoma and flange with brush ini outward circle moving toward stoma. Insert new inner cannula. Have
assistant hold trachesotomy tube.
For the patient who extubated himseld, what priority action should the nurse take? - ✅✅✅CORRECT
-Determine whether the pateint is breathing spontaneously.
What is the purpose of having a fenestrated tube in an artificial airway? - ✅✅✅CORRECT -To allow
the patient to talk.
The nurse is preparing to perform tracheal suctioning on a patient. Which of the following would be an
appropriate nursing action? Select all that apply. - ✅✅✅CORRECT --Hyperoxygenate patient with
artificial airway before suctioning.
-Allow at least 1 full min between suction passes.
The patient's wife asks why the nurse turns the oxygen all the way up before suctioning the patient.
What is the nurse's best response? - ✅✅✅CORRECT -Because suctioning will remove oxygen, the
flow rate is increased to prevent a decrease in oxygen available to tissues.