Exam 25: Airway Management

The nurse is assessing several patients who have returned from surgery.Which finding most likely indicates a need for suctioning?

A patient with increased secretions may develop airway obstruction.The nurse can promote a patent airway by using which of the following techniques? (Select all that apply.)

The nurse has completed suctioning a patient's airway.Which action should the nurse take first?

The nurse is assessing a patient who is intubated and on a ventilator.When listening above the sternal notch with a stethoscope,the nurse notes a minimal amount of air leak at the end of inspiration.Which action by the nurse is appropriate?

A patient on mechanical ventilation with an endotracheal tube requires suctioning.A closed in-line catheter is in place.Which action by the nurse is appropriate?

A nurse is preparing to suction a patient via the nasotracheal route.Which conditions should the nurse recognize as contraindications to nasotracheal suctioning? (Select all that apply.)

The nurse is evaluating a patient to determine whether the endotracheal tube cuff is properly inflated.Which findings indicate proper inflation? (Select all that apply.)

When assessing a patient's tracheostomy site,the nurse notes redness and inflammation around the stoma.Which intervention can the nurse provide to address this problem?

A patient has been on mechanical ventilation with an endotracheal tube for 1 week.Which intervention by the nurse will help prevent ventilator-associated pneumonia (VAP)?

The nurse is assessing a patient with an endotracheal tube and notes an audible air leak when standing by the patient.Which intervention should the nurse perform first to address this problem?

The nurse is performing nasotracheal suctioning for a patient.Which action by the nurse is appropriate?

Too much oxygen reduces the drive to breathe in patients with chronic _____________.

The student nurse is providing tracheostomy care to a patient who has intratracheal secretions and a damp tracheostomy dressing and ties.Which action by the student should the nursing instructor question?

A patient with a tracheostomy tube is accidentally extubated.What should the nurse do immediately?

After oropharyngeal suctioning of a patient,the nurse notes bloody secretions in the suction catheter and tubing.What should the nurse do next?

The nurse is assessing a patient with an endotracheal tube on mechanical ventilation.Which assessment finding indicates a partially deflated cuff?

An adult patient has extremely copious and thick oral secretions.The nurse provides oropharyngeal suctioning using a _________________ suction device.

The nurse is performing nasotracheal suctioning on a patient.The nurse should discontinue the suctioning if which of the following occurs?

A plastic or rubber tube that is inserted through the nares or mouth past the epiglottis and vocal cords to maintain an airway is known as an _________________.

The nurse is providing care to a patient with a tracheostomy tube that has an inner cannula.Which intervention by the nurse follows proper procedure for tracheostomy tube care?