Pre Test: Tracheostomy care
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Vigorous coughing caused my manipulation of the tube or coughing can result in what?
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Accidental decanulation
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A safe stable airway
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Prior and in between passess
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This pre-test on Tracheostomy Care assesses knowledge crucial for safe and effective tracheostomy management. It covers potential complications, appropriate nursing interventions, and essential practices like correct suctioning techniques and maintaining optimal cuff pressure. This quiz is vital for healthcare providers working in respiratory care.
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- 2.
A senior nurse is supervising a newly hired nurse who is performing tracheostomy care for a client. Which of the following actions by the student should the nurse intervene?
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Removing the inner cannula and cleaning using universal precaution.
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Suctioning the tracheostomy tube before performing tracheostomy care.
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Changing the old tracheotomy ties and securing the tube in place.
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Replacing the inner cannula and cleaning the site of the stoma.
Correct Answer
A. Removing the inner cannula and cleaning using universal precaution.Explanation
When performing tracheostomy care, a sterile field is set up and sterile technique is required. Standard precautions such as washing hands must also be maintained but are not enough when performing tracheostomy care. The presence of tracheostomy tube provides direct access to the lungs for organisms, so sterile technique is used to prevent infection.Rate this question:
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- 3.
The nurse is performing tracheal suctioning. Which action is essential to prevent hypoxemia during suctioning?
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Removal of oral and nasal secretions.
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Encouraging the client to deep breath and cough.
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Administer 100% oxygen before suctioning.
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Auscultate the lungs.
Correct Answer
A. Administer 100% oxygen before suctioning.Explanation
100% oxygen is given before and after suctioning to prevent hypoxemia.Rate this question:
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- 4.
What is the normal tracheostomy cuff pressure?
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30-40 mmhg
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20-25 mmHg
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15-20 mmHg
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40-55 mmHG
Correct Answer
A. 20-25 mmHgExplanation
The normal tracheostomy cuff pressure is 20-25 mmHg. This pressure range is considered optimal for maintaining an adequate seal around the tracheostomy tube, preventing air leakage and minimizing the risk of aspiration. Higher cuff pressures can lead to tracheal mucosal damage, while lower pressures may result in inadequate sealing and airway complications. Therefore, maintaining a cuff pressure within the normal range is crucial for patient safety and effective ventilation.Rate this question:
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- 5.
What is the maximum diameter of suction catheter you will use to perform tracheostomy suctioning?
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1/3 of the diameter of the trach.
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1 to 2 cm in diameter.
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No larger than 1/2 diameter of artificial airway d/t atelectasis risk
Correct Answer
A. No larger than 1/2 diameter of artificial airway d/t atelectasis riskExplanation
The maximum diameter of the suction catheter used for tracheostomy suctioning should not be larger than 1/2 the diameter of the artificial airway. This is because using a larger diameter catheter can increase the risk of atelectasis, which is the collapse of the lung tissue. A smaller catheter diameter allows for effective suctioning without causing damage or complications.Rate this question:
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Quiz Review Timeline (Updated): Aug 18, 2023 +
Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.
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Current Version
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Aug 18, 2023Quiz Edited by
ProProfs Editorial Team -
Nov 18, 2017Quiz Created by
Junell
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