Question 1

The nurse is caring for a client with a tracheostomy tube. Which information should the nurse omit from documentation?

Accepted Answer

A)  Quality of lung sounds 
B)  Status of inner cannula 
C)  Drainage from the stoma 
D)  Location of the tracheostomy tie knot 
A)  Quality of lung sounds 
B)  Status of inner cannula 
C)  Drainage from the stoma 
D)  Location of the tracheostomy tie knot D

Question 2

A client covers the tracheostomy tube with a finger when wanting to talk. Which action should the nurse take when this is observed?

Accepted Answer

A)  Praise the client for creativity 
B)  Suggest the client cover the tube with a gauze pad instead 
C)  Instruct the client that this process can lead to an infection 
D)  Recommend the client wear a clean glove when covering the tube 
A)  Praise the client for creativity 
B)  Suggest the client cover the tube with a gauze pad instead 
C)  Instruct the client that this process can lead to an infection 
D)  Recommend the client wear a clean glove when covering the tube C

Question 3

Which task could the nurse safely delegate to the assistive personnel (AP)?

Accepted Answer

A)  Capping a tracheostomy tube 
B)  Performing tracheostomy care 
C)  Increasing oxygen concentration delivered to the client 
D)  Providing routine client care 
A)  Capping a tracheostomy tube 
B)  Performing tracheostomy care 
C)  Increasing oxygen concentration delivered to the client 
D)  Providing routine client care D

Question 4

A client has a tracheostomy with a disposable inner cannula. Which should the nurse do when replacing this part of the tracheostomy tube?

Accepted Answer

A)  Affix the obturator to the new inner cannula 
B)  Ensure there is a replacement of the same type of tube 
C)  Select an inner cannula from the stock supply in the care area 
D)  Chose a replacement that is 2 inches shorter than the outer cannula 
A)  Affix the obturator to the new inner cannula 
B)  Ensure there is a replacement of the same type of tube 
C)  Select an inner cannula from the stock supply in the care area 
D)  Chose a replacement that is 2 inches shorter than the outer cannula

Question 5

A client with a tracheostomy asks assistive personnel (AP) for help capping the tube with a speaking valve. Which action should the AP take?

Accepted Answer

A)  Cap the tube 
B)  Ask another AP to cap the tube 
C)  Report the client's request to the nurse 
D)  Apply the cap after completing tracheostomy care 
A)  Cap the tube 
B)  Ask another AP to cap the tube 
C)  Report the client's request to the nurse 
D)  Apply the cap after completing tracheostomy care

Question 6

When preparing to cap the client's tracheostomy tube with a speaking valve, which nursing action should be omitted before placing the valve?

Accepted Answer

A)  Suctioning the oropharynx if there are any secretions present 
B)  Asking the client to cough 
C)  Suctioning the tracheostomy tube 
D)  Deflating the cuffed tracheostomy tube 
A)  Suctioning the oropharynx if there are any secretions present 
B)  Asking the client to cough 
C)  Suctioning the tracheostomy tube 
D)  Deflating the cuffed tracheostomy tube

The nurse is caring for a client with a tracheostomy tube. Which information should the nurse omit from documentation?

A client covers the tracheostomy tube with a finger when wanting to talk. Which action should the nurse take when this is observed?

Which task could the nurse safely delegate to the assistive personnel (AP)?

A client has a tracheostomy with a disposable inner cannula. Which should the nurse do when replacing this part of the tracheostomy tube?

A client with a tracheostomy asks assistive personnel (AP) for help capping the tube with a speaking valve. Which action should the AP take?

When preparing to cap the client's tracheostomy tube with a speaking valve, which nursing action should be omitted before placing the valve?

Essential Skills

Infection Prevention

Vital Signs

Diagnostic Testing

Client Hygiene

Bedmaking

Heat and Cold Measures

Pain Assessment and Management

Positioning the Client

Mobilizing the Client

Fall Prevention, Restraints, and Seizure Precautions

Maintaining Joint Mobility

Drug Calculations

Administering Oral and Enteral Medications

Administering Topical Medications

Administering Parenteral Medications

Administering Intravenous Therapy

Feeding Clients

Assisting With Urinary Elimination

Assisting With Fecal Elimination

Caring for Clients With Peritoneal Dialysis

Promoting Circulation

Breathing Exercises

Oxygen Therapy

Suctioning

Caring for the Client With Chest Tube Drainage

Administering Emergency Measures to the Hospitalized Client

Performing Wound and Pressure Injury Care

Orthopedic Care

Performing Perioperative Care

End-Of-Life Care

Filters

Exam 27: Caring for the Client With a Tracheostomy

The nurse is caring for a client with a tracheostomy tube. Which information should the nurse omit from documentation?

A client covers the tracheostomy tube with a finger when wanting to talk. Which action should the nurse take when this is observed?

Which task could the nurse safely delegate to the assistive personnel (AP)?

A client has a tracheostomy with a disposable inner cannula. Which should the nurse do when replacing this part of the tracheostomy tube?

A client with a tracheostomy asks assistive personnel (AP) for help capping the tube with a speaking valve. Which action should the AP take?

When preparing to cap the client's tracheostomy tube with a speaking valve, which nursing action should be omitted before placing the valve?

Essential Skills

Infection Prevention

Vital Signs

Diagnostic Testing

Client Hygiene

Bedmaking

Heat and Cold Measures

Pain Assessment and Management

Positioning the Client

Mobilizing the Client

Fall Prevention, Restraints, and Seizure Precautions

Maintaining Joint Mobility

Drug Calculations

Administering Oral and Enteral Medications

Administering Topical Medications

Administering Parenteral Medications

Administering Intravenous Therapy

Feeding Clients

Assisting With Urinary Elimination

Assisting With Fecal Elimination

Caring for Clients With Peritoneal Dialysis

Promoting Circulation

Breathing Exercises

Oxygen Therapy

Suctioning

Caring for the Client With Chest Tube Drainage

Administering Emergency Measures to the Hospitalized Client

Performing Wound and Pressure Injury Care

Orthopedic Care

Performing Perioperative Care

End-Of-Life Care

Filters