*NURSING > QUESTIONS & ANSWERS > Exam 2: Tracheostomy & Trach Care (NCLEX)2022 Questions And Answers Graded A+ (All)

Exam 2: Tracheostomy & Trach Care (NCLEX)2022 Questions And Answers Graded A+

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For client safety and quality care, which technique is best for the nurse to use when suctioning the client with a tracheostomy tube? A. Hyperoxygenate before and after suctioning B. Repeat suctio... ning until the tube is clear C. Apply suction during insertion of the tube D. Suction for 30 seconds A The client should be preoxygenated with 100% oxygen for 30 seconds to 3 minutes to prevent hypoxemia. After suctioning, the client should be hyperoxygenated for 1-5 minutes, or until the client's baseline heart rate and oxygen saturation are within normal limits.` The client with a new tracheostomy has a soiled dressing. What is the best nursing intervention? A. Cut sterile 4 x 4 gauze to fit around the tracheostomy tube B. Reinforce the dressing with sterile 4 x 4 gauze C. Replace the dressing with clean, folded 4 x 4 gauze D. Replace the dressing with sterile, folded 4 x 4 gauze D An older adult client is being discharged home with a tracheostomy. Which nursing action is an acceptable assignment for an experienced LPN/LVN? A. Complete the referral form for a home health agency B. Suction the tracheostomy using sterile technique C. Teach the client and spouse about tracheostomy D. Consult with the physician about using a fenestrated tube B Complex sterile procedures are within the education, scope, and practice of the experienced LPN/LVN. A client has just arrived in the PACU following a successful tracheostomy procedure. Which nursing action must be taken first? A. Suction as needed B. Clean the tracheostomy inner cannula and stoma C. Listen to lung sounds D. Change the tracheostomy dressing as needed C Assessment is the first phase of the nursing process. All other actions and procedures are driven by assessment findings. The first nursing action for a client following an airway procedure is to assess the client's respiratory status; this requires auscultation of the lungs. The client who is concerned about getting a tracheostomy says, "I will be ugly, with a hole in my neck." What is the nurse's best response? A. "But you know you need this to breathe, right?" B. Do you have a pretty scarf or a large loose collar that you could place over it?" C. "Your family and friends probably won't even care." D. "It won't take you long to learn to manage." B Suggesting strategies to cover the tracheostomy recognizes client concerns and explores options for dealing with the effects of the procedure. The older adult client with degenerative arthritis is admitted for tracheostomy surgery. What is the best communication method for this client during the postoperative period? A. Computer keyboard B. Magic slate C. Picture board D. Pen and paper C A picture board does not require very much dexterity for communication. Dexterity can be limited to the extent the client finds comfortable. [Show More]

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