NUR217 Exam 2 practical questions with
complete detailed accurate solutions
(Oxygenation)
intubation vs tracheostomy - answer ✔✔-Why Intubate?
-Neuromuscular diseases (Guillian- Barre, MS, MD, ALS)
-Pneumonia
-Anesthesia
-Hypoxia
-Airway obstruction (Neck trauma, Inhalation burns, Malignancy, Anaphylaxis)
Why a Tracheostomy?
-Endotracheal tube exceeds 2 weeks
-Easier to wean
-Upper airway obstruction
-Comfort
-Manage secretions
-Long term Vent
insertion of ETT - answer ✔✔-intubation
-done at bedside
-explain procedure
-sedation (only sedate if pt is not hypotensive)
-document
-listen for equal breath sounds, x ray checks placement
, -nurses unable to intubate unless nurse anesthetic
-nurse is responsible for the tube after placement
What are your priorities when placing ETT (what assessments should be done) - answer ✔✔--
what is the patient neurologically like before sedation?
-respiratory status
-is the tube in the correct place?
-is the patient anxious? if pt is anxious they will fight the vent and not get the oxygen they need
(would need to increase sedation)
-assess skin integrity (could get pressure injury from the tube)
-gas exchange, pulse ox, VS
nursing management of article airways (both intubation and tracheostomy) - answer ✔✔--
maintain the correct tube placement (chest x rays, document position of the tube, auscultate
for bilateral breath sounds)
-maintain proper cuff inflation (cuff should not be soft and squishy which means theres not
enough air in the tube - if needing to put more air in only do 1 cc at a time)
-maintain and monitor ventilation and oxygenation (ABGs, pulse ox, clinical condition)
-maintain tube patency (need to suction, do not suction for more than 10 mins at a time and
document secretions)
-mouth care and endotracheal repositioning (mouth care q4hrs)
-comfort and communication (turn pt q2hr)
extubating patient - what is needed? - answer ✔✔-will need a 10cc syringe
suction
substitute oxygen
monitor pt carefully
complete detailed accurate solutions
(Oxygenation)
intubation vs tracheostomy - answer ✔✔-Why Intubate?
-Neuromuscular diseases (Guillian- Barre, MS, MD, ALS)
-Pneumonia
-Anesthesia
-Hypoxia
-Airway obstruction (Neck trauma, Inhalation burns, Malignancy, Anaphylaxis)
Why a Tracheostomy?
-Endotracheal tube exceeds 2 weeks
-Easier to wean
-Upper airway obstruction
-Comfort
-Manage secretions
-Long term Vent
insertion of ETT - answer ✔✔-intubation
-done at bedside
-explain procedure
-sedation (only sedate if pt is not hypotensive)
-document
-listen for equal breath sounds, x ray checks placement
, -nurses unable to intubate unless nurse anesthetic
-nurse is responsible for the tube after placement
What are your priorities when placing ETT (what assessments should be done) - answer ✔✔--
what is the patient neurologically like before sedation?
-respiratory status
-is the tube in the correct place?
-is the patient anxious? if pt is anxious they will fight the vent and not get the oxygen they need
(would need to increase sedation)
-assess skin integrity (could get pressure injury from the tube)
-gas exchange, pulse ox, VS
nursing management of article airways (both intubation and tracheostomy) - answer ✔✔--
maintain the correct tube placement (chest x rays, document position of the tube, auscultate
for bilateral breath sounds)
-maintain proper cuff inflation (cuff should not be soft and squishy which means theres not
enough air in the tube - if needing to put more air in only do 1 cc at a time)
-maintain and monitor ventilation and oxygenation (ABGs, pulse ox, clinical condition)
-maintain tube patency (need to suction, do not suction for more than 10 mins at a time and
document secretions)
-mouth care and endotracheal repositioning (mouth care q4hrs)
-comfort and communication (turn pt q2hr)
extubating patient - what is needed? - answer ✔✔-will need a 10cc syringe
suction
substitute oxygen
monitor pt carefully
