Tracheostomy Quiz Questions And Answers

A tracheostomy is often performed when there is an upper airway obstruction, which may be caused by trauma, tumors, or severe swelling. This procedure creates an opening in the neck to allow air to enter the trachea directly, bypassing the obstructed upper airway. It is not typically indicated for conditions like chronic sinusitis, acute otitis media, or obstructive sleep apnea, which are usually managed by other means.

When performing tracheostomy suctioning, it is important to remove the catheter from the sleeve and insert it to about one-third of its length or approximately 10-15 cm, or until the patient coughs. If resistance is encountered, the catheter should be withdrawn approximately 1 cm before applying suction by placing the thumb over the suction port control and slowly withdrawing the rest of the catheter. This ensures that the suctioning is done effectively and safely.

The correct answer is true because rinsing the suction tubing by dipping its end into the sterile water bottle and applying suction until the solution has rinsed the tubing through is an appropriate and effective method of cleaning the tubing. This process helps to remove any debris or residue that may be present in the tubing, ensuring that it is clean and ready for use.

Excessive coughing can potentially cause tracheostomy tube displacement. The forceful coughing can create pressure and movement in the airway, which may result in the tube becoming dislodged or shifted from its intended position. Therefore, the statement is false.

The recommended pressure for wall suction in an adult is 100-120 mmHg. This range of pressure is considered safe and effective for removing secretions and maintaining airway patency. Suction pressures that are too low may not effectively clear secretions, while pressures that are too high can cause tissue damage or bleeding. Therefore, maintaining the recommended pressure range is crucial for proper suctioning in adult patients.

Prior to and after performing tracheostomy care, it is important to hyperoxygenate the client. This involves providing an increased level of oxygen to the client to ensure that their oxygen levels are optimized. Hyperoxygenation helps to prevent hypoxia, which is a condition characterized by low oxygen levels in the body. By hyperoxygenating the client, we can ensure that they have an adequate oxygen supply during and after the tracheostomy care procedure.

Hand washing is the most important nursing procedure to perform prior to tracheostomy care to minimize the risk of infection. This is because hand washing helps to remove microorganisms from the hands, reducing the chance of introducing them into the tracheostomy site. Proper hand hygiene is crucial in healthcare settings to prevent the spread of infections and maintain patient safety. Using curtains, sterile gloves, and proper waste disposal are also important procedures, but hand washing takes precedence in this context.

This is the purpose of a tracheostomy. The client may become less anxious when she is no longer hypoxic. However, relief of anxiety is not the purpose of a tracheostomy tube.

When assessing the need for a client to be suctioned, hydration is an important factor to consider. Adequate hydration helps to thin and loosen respiratory secretions, making them easier to remove through suctioning. If a client is dehydrated, their secretions may become thick and difficult to clear, increasing the need for suctioning. Therefore, assessing hydration levels is crucial in determining if suctioning is necessary for a client.

The nurse should suction the opening and the trach tubing. The patient's gurgling sounds indicate that there may be secretions blocking the airway, which can be cleared by suctioning. The patient's rapid breathing and attempts to cough further suggest that there is an obstruction that needs to be addressed. Suctioning the trach site and tubing will help remove any secretions and improve the patient's breathing. Assessing lung sounds, replacing the trach tubing with an Ambu-bag, and checking capillary refill are important actions but are not the immediate priority in this situation.

The correct answer is Bag Valve Mask, Suction equipment, and Oxygen. These emergency equipment are necessary for a patient with a tracheostomy. A Bag Valve Mask is used for providing positive pressure ventilation in case of respiratory distress. Suction equipment is required to clear any secretions or blockages from the tracheostomy tube. Oxygen is essential for maintaining adequate oxygenation in the patient. These equipment ensure that the patient's airway is protected and they can breathe properly in case of any emergency.

The correct answer is infection, pneumonia, hemorrhage, and subcutaneous emphysema. Tracheostomy is a surgical procedure that involves creating an opening in the neck to access the trachea. Complications of tracheostomy can include infection, which can occur at the site of the incision or in the respiratory tract. Pneumonia can also occur due to the introduction of bacteria into the lungs during the procedure. Hemorrhage is a potential complication due to damage to blood vessels during the surgery. Subcutaneous emphysema can occur if air leaks into the tissues surrounding the tracheostomy site, causing swelling and discomfort.

A tracheostomy makes a client unable to speak. Other means of communication will be necessary.

The correct answer is "No larger than 1/2 diameter of artificial airway d/t atelectasis risk". This means that when performing tracheostomy suctioning, the maximum diameter of the suction catheter should not exceed half the diameter of the artificial airway. This is because using a larger catheter can increase the risk of atelectasis, which is the collapse or closure of the lung. Therefore, it is important to use a catheter that is appropriate in size to minimize the risk of complications during tracheostomy suctioning.

The normal tracheostomy cuff pressure is 20-25 mmHg. This pressure range is considered optimal to maintain an adequate seal around the tracheostomy tube while minimizing the risk of complications such as pressure ulcers or tracheal damage. Higher pressures may cause ischemia or necrosis of the tracheal mucosa, while lower pressures may lead to air leakage and aspiration. Therefore, maintaining a cuff pressure within the recommended range is crucial for patient safety and comfort.