NUR2243 MODULE 2 EAQS TRACHEOSTOMY &
OXYGEN THERAPY Q&A WITH RATIONALES WITH
COMPLETE SOLUTION!!
1. When caring for a mechanically ventilated patient with a new tracheostomy,
which principle guides nursing care?
Answer: Ensure the pilot balloon remains inflated.
Rationale: An inflated pilot balloon confirms that the cuff is inflated, which
maintains a secure airway and prevents air leaks during ventilation.
2. Which oxygen delivery device provides a low-flow FiO₂?
Answer: Nasal cannula.
Rationale: The nasal cannula delivers variable, low-flow oxygen depending on the
patient’s breathing pattern.
3. Which are components of low-flow oxygen systems? (Select all that apply.)
Answer:
Simple face mask
Nonrebreather mask
Rationale: Low-flow systems supply oxygen that mixes with room air; both a
simple mask and nonrebreather mask fall into this category.
,4. What principle should guide oral care during the first 24 hours after
tracheostomy placement?
Answer: Oral hygiene is necessary to reduce bacterial buildup.
Rationale: Postoperative clients are at higher risk for respiratory infections, and
oral care helps decrease microbial colonization.
5. Vagal stimulation during suctioning may lead to which conditions? (Select all
that apply.)
Answer:
Bradycardia
Asystole
Heart block
Rationale: Stimulating the vagus nerve can cause dangerous cardiac slowing or
conduction disturbances.
6. Which finding may indicate the presence of a tracheoesophageal fistula (TEF)?
Answer: Coughing or choking while eating.
, Rationale: A TEF allows food or liquids to enter the airway, triggering coughing or
choking during swallowing.
7. Which assessment findings suggest a tracheostomy tube obstruction? (Select all
that apply.)
Answer:
Dyspnea
Noisy breathing
Difficulty passing a suction catheter
Rationale: Obstruction limits airflow and often prevents full catheter insertion.
8. A patient with facial burns requires oxygen therapy. Which delivery method is
best?
Answer: Face tent.
Rationale: A face tent provides humidified oxygen without direct contact with
burned facial skin.
9. What are potential infection sources in patients receiving oxygen therapy?
(Select all that apply.)
OXYGEN THERAPY Q&A WITH RATIONALES WITH
COMPLETE SOLUTION!!
1. When caring for a mechanically ventilated patient with a new tracheostomy,
which principle guides nursing care?
Answer: Ensure the pilot balloon remains inflated.
Rationale: An inflated pilot balloon confirms that the cuff is inflated, which
maintains a secure airway and prevents air leaks during ventilation.
2. Which oxygen delivery device provides a low-flow FiO₂?
Answer: Nasal cannula.
Rationale: The nasal cannula delivers variable, low-flow oxygen depending on the
patient’s breathing pattern.
3. Which are components of low-flow oxygen systems? (Select all that apply.)
Answer:
Simple face mask
Nonrebreather mask
Rationale: Low-flow systems supply oxygen that mixes with room air; both a
simple mask and nonrebreather mask fall into this category.
,4. What principle should guide oral care during the first 24 hours after
tracheostomy placement?
Answer: Oral hygiene is necessary to reduce bacterial buildup.
Rationale: Postoperative clients are at higher risk for respiratory infections, and
oral care helps decrease microbial colonization.
5. Vagal stimulation during suctioning may lead to which conditions? (Select all
that apply.)
Answer:
Bradycardia
Asystole
Heart block
Rationale: Stimulating the vagus nerve can cause dangerous cardiac slowing or
conduction disturbances.
6. Which finding may indicate the presence of a tracheoesophageal fistula (TEF)?
Answer: Coughing or choking while eating.
, Rationale: A TEF allows food or liquids to enter the airway, triggering coughing or
choking during swallowing.
7. Which assessment findings suggest a tracheostomy tube obstruction? (Select all
that apply.)
Answer:
Dyspnea
Noisy breathing
Difficulty passing a suction catheter
Rationale: Obstruction limits airflow and often prevents full catheter insertion.
8. A patient with facial burns requires oxygen therapy. Which delivery method is
best?
Answer: Face tent.
Rationale: A face tent provides humidified oxygen without direct contact with
burned facial skin.
9. What are potential infection sources in patients receiving oxygen therapy?
(Select all that apply.)
