NUR 402 Exam – Final & Midterm | Nursing Study
Guide, Test Bank, Questions & Answers (100%
Verified
What would be a priority diagnosis for someone with a Tracheostomy? –
Answer Impaired Skin Integrity
Risk for Infection
Ineffective Airway Clearance
Impaired Gas Exchange
Risk for Aspiration
What would the nurse have a bedside for a new Tracheostomy? - Answer Obturator and a
spare tracheostomy of the same size
What are the At Home Care Guidelines for a Tracheostomy - Answer Patients use a clean
technique rather than a sterile technique
Patients normally have a non-disposable cannula because disposable cannulas can be expensive
Care is performed every 24 hours
What are the Hospital Care Guidelines for a Tracheostomy - Answer Care is done every shift
or PRN
Sterile technique is used
What is the purpose of fenestrations on a trach tube - Answer Allows the patient to talk or if
they only need the airway during the night/day rather than 24/7
Has to be uncuffed to talk
How Often do you change the tape on an ET Tube - Answer Every 24 Hours or PRN when
soiled
How would you educate a patient about the need for an endotracheal tube for surgery -
Answer Placed under general anesthesia for temporary use and then removed when
awakening.
Throat might be sore after
, What might you choose to use on a patient that has sonorous respirations after surgery to aid in
keeping the airway open - Answer Oropharyngeal Airway
What condition might hinder getting a good pulse oximeter reading - Answer COPD
Low Hemoglobin Levels
Any chronic lung disease
Chronic Bronchitis
Emphysema
Bradycardia
Irregular Cardiac Rhythms
Patients with a low cardiac output
When assisting with extubating, what should the nurse do prior to pulling the tube out -
Answer Suction for aspiration
Why would you use a bag valve mask vs. non-rebreather mask - Answer Bag Valve: Patient is
not spontaneously breathing
Non-Rebreather: Patient is breathing on their own
What is the difference between open and closed suction - Answer Open Suctioning:
more risk for infection
sterile
preferred
Closed Suctioning:
Reduce contamination from the caregivers and the environment
Enclosed and considered a sterile system
Clean gloves
Supposed to be changed every 24 hours
Someone has thick sputum or yellow plugs to sputum. What should the nurse consider is needed
to assist in thinning the sputum - Answer Humidification or Increased IV fluids
What part of the chest tube drainage system is actually "Dry" - Answer The Suction Chamber
Guide, Test Bank, Questions & Answers (100%
Verified
What would be a priority diagnosis for someone with a Tracheostomy? –
Answer Impaired Skin Integrity
Risk for Infection
Ineffective Airway Clearance
Impaired Gas Exchange
Risk for Aspiration
What would the nurse have a bedside for a new Tracheostomy? - Answer Obturator and a
spare tracheostomy of the same size
What are the At Home Care Guidelines for a Tracheostomy - Answer Patients use a clean
technique rather than a sterile technique
Patients normally have a non-disposable cannula because disposable cannulas can be expensive
Care is performed every 24 hours
What are the Hospital Care Guidelines for a Tracheostomy - Answer Care is done every shift
or PRN
Sterile technique is used
What is the purpose of fenestrations on a trach tube - Answer Allows the patient to talk or if
they only need the airway during the night/day rather than 24/7
Has to be uncuffed to talk
How Often do you change the tape on an ET Tube - Answer Every 24 Hours or PRN when
soiled
How would you educate a patient about the need for an endotracheal tube for surgery -
Answer Placed under general anesthesia for temporary use and then removed when
awakening.
Throat might be sore after
, What might you choose to use on a patient that has sonorous respirations after surgery to aid in
keeping the airway open - Answer Oropharyngeal Airway
What condition might hinder getting a good pulse oximeter reading - Answer COPD
Low Hemoglobin Levels
Any chronic lung disease
Chronic Bronchitis
Emphysema
Bradycardia
Irregular Cardiac Rhythms
Patients with a low cardiac output
When assisting with extubating, what should the nurse do prior to pulling the tube out -
Answer Suction for aspiration
Why would you use a bag valve mask vs. non-rebreather mask - Answer Bag Valve: Patient is
not spontaneously breathing
Non-Rebreather: Patient is breathing on their own
What is the difference between open and closed suction - Answer Open Suctioning:
more risk for infection
sterile
preferred
Closed Suctioning:
Reduce contamination from the caregivers and the environment
Enclosed and considered a sterile system
Clean gloves
Supposed to be changed every 24 hours
Someone has thick sputum or yellow plugs to sputum. What should the nurse consider is needed
to assist in thinning the sputum - Answer Humidification or Increased IV fluids
What part of the chest tube drainage system is actually "Dry" - Answer The Suction Chamber
