Deck 40: Respiratory Support and Therapies
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Deck 40: Respiratory Support and Therapies
1
What feelings are common with artificial airways?
A) Numbness and tingling
B) Pain and discomfort
C) Dizziness and faintness
D) Gagging and choking
A) Numbness and tingling
B) Pain and discomfort
C) Dizziness and faintness
D) Gagging and choking
Gagging and choking
2
Which statement about suctioning is correct?
A) Oxygen is added to the airway when suctioning.
B) Suction is applied while inserting the catheter.
C) Suctioning can injure the airway.
D) Suctioning is never a dangerous procedure.
A) Oxygen is added to the airway when suctioning.
B) Suction is applied while inserting the catheter.
C) Suctioning can injure the airway.
D) Suctioning is never a dangerous procedure.
Suctioning can injure the airway.
3
Blood in the pleural space is:
A) Hemothorax
B) Hemoptysis
C) Pleural effusion
D) Pneumothorax
A) Hemothorax
B) Hemoptysis
C) Pleural effusion
D) Pneumothorax
Hemothorax
4
Using a machine to move air into and out of the lungs is:
A) Mechanical ventilation
B) Chest tube insertion
C) Suctioning
D) Intubation
A) Mechanical ventilation
B) Chest tube insertion
C) Suctioning
D) Intubation
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5
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
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
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6
Air in the pleural space is:
A) Pleural effusion
B) Pneumothorax
C) Hemothorax
D) Sputum
A) Pleural effusion
B) Pneumothorax
C) Hemothorax
D) Sputum
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7
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.
A) Reinsert the airway.
B) Call for the nurse at once.
C) Ask the person to put it back in.
D) Give oxygen.
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8
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.
A) 5 to 10 seconds.
B) 10 to 15 seconds.
C) 15 to 20 seconds.
D) 20 to 30 seconds.
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9
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
A) Fluids offered at frequent intervals
B) Frequent oral hygiene
C) Frequent suctioning
D) Range-of-motion exercises every hour
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10
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
A) The person can cough up secretions
B) A sputum specimen is needed
C) Secretions are excessive
D) The person is very ill
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11
The process of withdrawing or sucking up fluid is:
A) Hemoptysis
B) Sputum
C) Suction
D) Secretions
A) Hemoptysis
B) Sputum
C) Suction
D) Secretions
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12
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.
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.
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13
The process of inserting an artificial airway is:
A) Mechanical ventilation
B) Chest tube insertion
C) Suctioning
D) Intubation
A) Mechanical ventilation
B) Chest tube insertion
C) Suctioning
D) Intubation
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14
Which statement about tracheostomies is correct?
A) The nurse removes the inner and outer cannulas for cleaning.
B) The ties are never to be removed.
C) For an adult,three fingers should slide under the ties or collar.
D) Standard Precautions and the Bloodborne Pathogen Standard are followed during tracheostomy care.
A) The nurse removes the inner and outer cannulas for cleaning.
B) The ties are never to be removed.
C) For an adult,three fingers should slide under the ties or collar.
D) Standard Precautions and the Bloodborne Pathogen Standard are followed during tracheostomy care.
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15
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
A) To keep the airway moist
B) To keep the airway open
C) When suctioning is needed
D) When chest tubes are needed
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16
Suctioning is done:
A) Every hour
B) Every 2 hours
C) Every 4 hours
D) As needed
A) Every hour
B) Every 2 hours
C) Every 4 hours
D) As needed
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17
Only doctors can:
A) Insert oropharyngeal airways
B) Suction oropharyngeal airways
C) Insert endotracheal tubes
D) Perform tracheostomies
A) Insert oropharyngeal airways
B) Suction oropharyngeal airways
C) Insert endotracheal tubes
D) Perform tracheostomies
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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.
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.
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19
The escape and collection of fluid in the pleural space is:
A) Pleural effusion
B) Pneumothorax
C) Hemothorax
D) Sputum
A) Pleural effusion
B) Pneumothorax
C) Hemothorax
D) Sputum
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20
Persons with endotracheal tubes cannot:
A) Breathe
B) Sleep
C) Move
D) Speak
A) Breathe
B) Sleep
C) Move
D) Speak
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21
Chest tubes are attached to:
A) Suction
B) A mechanical ventilator
C) A drainage system
D) The bed frame
A) Suction
B) A mechanical ventilator
C) A drainage system
D) The bed frame
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22
Mechanical ventilation requires:
A) Suctioning
B) An oropharyngeal or nasopharyngeal airway
C) Chest tubes
D) An endotracheal tube or a tracheostomy tube
A) Suctioning
B) An oropharyngeal or nasopharyngeal airway
C) Chest tubes
D) An endotracheal tube or a tracheostomy tube
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23
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
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
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24
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
A) An artificial airway
B) A suction catheter
C) An Ambu bag
D) Sterile petrolatum gauze
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25
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
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
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26
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.
A) Suction the person.
B) Tell the nurse at once.
C) Call the doctor.
D) Ask the person to deep breathe and cough.
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27
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.
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.
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28
A surgically created opening into the trachea is:
A) Hemoptysis
B) Endotracheal
C) Tracheostomy
D) Pleural effusion
A) Hemoptysis
B) Endotracheal
C) Tracheostomy
D) Pleural effusion
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29
A patient requires mechanical ventilation.The nurse asks you to assist with the person's care.Which should you agree to do?
A) Select the suction catheter to be used.
B) Comfort and reassure the person.
C) Suction the person's airway.
D) Tell the person this will not be uncomfortable.
A) Select the suction catheter to be used.
B) Comfort and reassure the person.
C) Suction the person's airway.
D) Tell the person this will not be uncomfortable.
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30
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.
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.
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31
Which health team member inserts chest tubes?
A) A doctor
B) A respiratory therapist
C) An RN
D) A nursing assistant
A) A doctor
B) A respiratory therapist
C) An RN
D) A nursing assistant
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32
A person's chest tube comes out.Which action is correct?
A) Call for help.
B) Try to reinsert it.
C) Cover the insertion site with a Band-Aid.
D) Go and get the nurse.
A) Call for help.
B) Try to reinsert it.
C) Cover the insertion site with a Band-Aid.
D) Go and get the nurse.
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33
A patient requires mechanical ventilation.The nurse asks you to assist with the person's care.Which should you politely refuse to do?
A) Answer the call light promptly.
B) Explain who you are and what you are going to do every time you enter the room.
C) Check the settings and reset alarms.
D) Follow the care plan to communicate with the person.
A) Answer the call light promptly.
B) Explain who you are and what you are going to do every time you enter the room.
C) Check the settings and reset alarms.
D) Follow the care plan to communicate with the person.
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34
The nurse asks you to assist with suctioning.Before assisting,you need to review the procedure with the nurse.
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35
If not done correctly,suctioning can cause serious harm.
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36
A patient has chest tubes.You are assisting the nurse with the person's care.You need to do which of the following?
A) Turn and reposition the person according to the care plan.
B) Remove the chest tube when ordered.
C) Change the dressing around the chest tub.
D) Empty the bottles at the end of your shift.
A) Turn and reposition the person according to the care plan.
B) Remove the chest tube when ordered.
C) Change the dressing around the chest tub.
D) Empty the bottles at the end of your shift.
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