Deck 37: Respiratory Support and Therapies

Question 1

Persons with endotracheal tubes cannot

A)Breathe
B)Sleep
C)Move
D)Speak

Answer 1

Speak

Question 2

The process of withdrawing or sucking up fluid is

A)Hemoptysis
B)Sputum
C)Suction
D)Secretions

Answer 2

Suction

Question 3

A suction cycle for an adult lasts

A)5 to 10 seconds
B)10 to 15 seconds
C)15 to 20 seconds
D)20 to 30 seconds

Answer 3

10 to 15 seconds

Question 4

What feelings are common with artificial airways?

A)Numbness and tingling
B)Pain and discomfort
C)Dizziness and faintness
D)Gagging and choking

Question 5

Artificial airways are used

A)To keep the airway moist
B)To keep the airway open
C)When suctioning is needed
D)When chest tubes are needed

Question 6

Persons with artificial airways need

A)Fluids offered at frequent intervals
B)Frequent oral hygiene
C)Frequent suctioning
D)Range-of-motion exercises every hour

Question 7

Blood in the pleural space is

A)Hemothorax
B)Hemoptysis
C)Pleural effusion
D)Pneumothorax

Question 8

A person has a tracheostomy tube.To communicate with the person,you need to

A)Follow the care plan
B)Provide paper and pencil
C)Check on them once per hour
D)Ask the family member to communicate for the person

Question 9

Which statement about suctioning is incorrect?

A)Oxygen is removed from the airway.
B)Suction is applied while inserting the catheter.
C)Suctioning can injure the airway.
D)A suction cycle involves inserting the catheter,applying suction,and removing the catheter.

Question 10

Which statement about tracheostomies is incorrect?

A)The nurse removes the inner and outer cannulas for cleaning.
B)When the ties are removed,the outer cannula is held in place.
C)For an adult,a finger should slide under the ties or collar.
D)Standard Precautions and the Bloodborne Pathogen Standard are followed during tracheostomy care.

Question 11

A resident has a permanent tracheostomy.The person wants to take a shower.Which is correct?

A)People with tracheostomies cannot shower.They have tub or bed baths.
B)A shower guard is used and a hand-held nozzle is used to direct water away from the stoma.
C)The person needs to cover the stoma with plastic or leather.
D)Only the person's lower body is washed.

Question 12

Using a machine to move air into and out of the lungs is

A)Mechanical ventilation
B)Chest tube insertion
C)Suctioning
D)Intubation

Question 13

Only doctors can

A)Insert oropharyngeal airways
B)Suction oropharyngeal airways
C)Insert endotracheal tubes
D)Perform tracheostomies

Question 14

For infants and children,the suction cycle is limited to

A)3 seconds
B)5 seconds
C)10 seconds
D)15 seconds

Question 15

A person's artificial airway came out.What should you do?

A)Re-insert the airway.
B)Call for the nurse at once.
C)Ask the person to put it back in.
D)Give oxygen.

Question 16

Suctioning is done when

A)The person can cough up secretions
B)A sputum specimen is needed
C)Secretions are excessive
D)The person is very ill

Question 17

Suctioning is done

A)Every hour
B)Every 2 hours
C)Every 4 hours
D)As needed

Question 18

A resident has a permanent tracheostomy.The person wants to go outside.Which is correct?

A)People with tracheostomies cannot go outside.
B)The person cannot go outside alone.
C)The person needs to wear a scarf or blouse that will cover the stoma.
D)The person needs to take an Ambu bag with her.

Question 19

The process of inserting an artificial airway is

A)Mechanical ventilation
B)Chest tube insertion
C)Suctioning
D)Intubation

Question 20

The escape and collection of fluid in the pleural space is

A)Pleural effusion
B)Pneumothorax
C)Hemothorax
D)Sputum

Question 21

The doctor inserts chest tubes for the following reasons except

A)To remove secretions and air from the lower airway
B)To remove blood from the pleural space
C)To remove air from the pleural space
D)To remove fluid from the pleural space

Question 22

Which health team member inserts chest tubes?

A)A doctor
B)A respiratory therapist
C)An RN
D)A nursing assistant

Question 23

A person needs suctioning.The nurse is very busy with a family member.You are told to suction the person.What should you do?

A)Refuse the task and explain why.
B)Perform the task as directed.
C)Ask the nurse to show you how to complete the task.
D)Ask someone else to do it.

Question 24

The nurse asks you to assist with suctioning.You need to

A)Know what the nurse expects of you
B)Clear the catheter with water or saline
C)Apply suction after inserting the catheter
D)Pass the catheter no more than 3 times

Question 25

You observe bright red drainage from a patient's chest tubes.What should you do?

A)Suction the person.
B)Tell the nurse at once.
C)Call the doctor.
D)Ask the person to deep breathe and cough.

Question 26

A patient requires mechanical ventilation.The nurse asks you to assist with the person's care.Which should you politely refuse to do?

A)Meet the person's basic needs according to the care plan.
B)Comfort and reassure the person.
C)Suction the person's airway.
D)Tell the person when you are leaving the room.

Question 27

A patient has chest tubes.You are assisting the nurse with the person's care.You need to do the following except

A)Turn and re-position the person according to the care plan
B)Assist with incentive spirometry as directed
C)Assist with deep breathing and coughing as directed
D)Empty the bottles at the end of your shift

Question 28

An alarm sounds on a mechanical ventilator.What should you do first?

A)Shut off the alarm.
B)Reset the alarm.
C)Tell the nurse.
D)Check to see if the person's tube is attached to the ventilator.

Question 29

The nurse asks you to assist with suctioning.Before assisting,you need to review the procedure with the nurse.

Question 30

A patient has chest tubes.Connecting tubes

A)Are kept above the person's chest
B)Are kept coiled on the bed
C)Should hang in loops
D)Should be snug but not tight

Question 31

A surgically created opening into the trachea is

A)Hemoptysis
B)Endotracheal
C)Tracheostomy
D)Pleural effusion

Question 32

If not done correctly,suctioning can cause serious harm.

Question 33

Chest tubes are attached to

A)Suction
B)A mechanical ventilator
C)A drainage system
D)The bed frame

Question 34

A person's chest tube comes out.Which action is incorrect?

A)Call for help.
B)Try to re-insert it.
C)Cover the insertion site with sterile petrolatum gauze.
D)Stay with the person.

Question 35

What is kept at the bedside in case a chest tube comes out?

A)An artificial airway
B)A suction catheter
C)An Ambu bag
D)Sterile petrolatum gauze

Question 36

Mechanical ventilation requires

A)Suctioning
B)An oropharyngeal or nasopharyngeal airway
C)Chest tubes
D)An endotracheal tube or a tracheostomy tube