Deck 29: Respiratory Support and Therapies

Question 1

Blood in the pleural space is

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

Answer 1

Hemothorax

Question 2

The escape and collection of fluid in the pleural space is

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

Answer 2

Pleural effusion

Question 3

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.

Answer 3

A shower guard is used and a hand-held nozzle is used to direct water away from the stoma.

Question 4

Which statement about tracheostomies is incorrect?

A)The nurse removes the inner and outer cannulas for cleaning.
B)The outer cannula is held in place with ties or a collar.
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 5

Only doctors can

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

Question 6

The process of withdrawing or sucking up fluid is

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

Question 7

Respirations are rapid and deeper than normal.This is

A)Bradypnea
B)Tachypnea
C)Hypoventilation
D)Hyperventilation

Question 8

The process of inserting an artificial airway is

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

Question 9

What sensations are common with artificial airways?

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

Question 10

A suction cycle lasts _____ seconds.

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

Question 11

A person has a tracheostomy tube.To communicate with the person,which is correct?

A)Follow the care plan.
B)Provide paper and pencil.
C)Establish hand and eye signals.
D)Provide a communication board.

Question 12

Inserting an artificial airway is called

A)Suctioning
B)Intubation
C)Mechanical ventilation
D)Ambu

Question 13

Persons with endotracheal tubes cannot

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

Question 14

Air in the pleural space is

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

Question 15

Suctioning is done when

A)The person cannot cough up secretions
B)A sputum specimen is needed
C)Secretions are excessive
D)The person is very ill

Question 16

Which statement about suctioning is incorrect?

A)Oxygen is removed from the airway.
B)The person inhales air during suctioning.
C)Suctioning can injure the airway.
D)A suction cycle involves inserting the catheter,applying suction,and removing the catheter.

Question 17

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 18

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 19

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 20

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

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

Question 21

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 22

The doctor inserts chest tubes for all of the following reasons except to remove

A)Secretions and air from the lower airway
B)Blood from the pleural space
C)Air from the pleural space
D)Fluid from the pleural space

Question 23

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

A)Answer the signal light promptly.
B)Explain who you are and what you are going to do every time you enter the room.
C)Check the ventilator settings and reset alarms.
D)Follow the care plan to communicate with the person.

Question 24

A resident 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 25

Chest tubes are attached to

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

Question 26

A resident 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

Suctioning is done

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

Question 28

The nurse asks you to assist with suctioning.Which is correct?

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 29

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 tube is attached to the ventilator.

Question 30

A resident has chest tubes.You are assisting the nurse with the person's care.You can do all of 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 31

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

Question 32

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 33

If not done correctly,suctioning can cause serious harm.

Question 34

Mechanical ventilation requires

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

Question 35

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 36

You observe bright red drainage from the chest tubes.What should you do?

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