What is the best nursing intervention you need to perform when you notice that the tracheostomy site of your patient has yellowish discharges quizlet?

15 Questions | Total Attempts: 11589

Prior to and after performing tracheostomy care to a client, we are doing what with oxygen?
The recommended pressure for wall suction in an adult is 100-120 mmHg?
Hydration is an important factor to consider when assessing when a client needs to be.. (what?)
- The functioning of tracheostomy
A nurse is caring for a patient with a tracheostomy. The nurse notes that the patient has gurgling sounds coming from the trach site, he is breathing rapidly, and he is trying to cough. Which action should the nurse perform next?
- Suction the opening and the trach tubing
- Assess the patients lung sounds
- Replace the trach tubing with an Ambu-bag and provide two measured breaths
- Check capillary refill in the fingertips.
A tracheostomy tube is inserted in a patient who is in respiratory distress as a result of pneumonia. The family asks why the tube is inserted. What should the nurse include when explaining to the patient and family? The purpose of a tracheostomy tube is to:
- Decrease the client’s anxiety by increasing the size of the airway.
- Provide increased cerebral oxygenation, thereby preventing further respiratory depression.
- Facilitate nursing care since tracheal tubes have fewer side effects than nasotracheal tubes.
- Provide more controlled ventilation and ease removal of secretions the client is unable to handle.
An adult is about to have a tracheostomy performed. Which action is of the highest priority for the nurse before the procedure is done?
- Establishing means of postoperative communication.
- Drawing blood for serum electrolytes and blood gases.
- Inserting an indwelling catheter and attaching it to dependent drainage.
- Doing a surgical prep of the neck and upper chest wall.
Select all that apply.What emergency equipment is required at the bedside for the patient with a tracheostomy
Select all that apply.What ate are the tracheostomy complications?
What is the best nursing intervention you need to perform when you notice that the tracheostomy site of your patient has yellowish discharges?
- Practice standard precaution and perfrom tracheostomy care.
- Discard the dressing with discharges.
- Practice standard precaution, perform tracheostomy care, and report the signs of infection.
Excessive coughing cannot cause tracheostomy tube displacement.
What is the normal tracheostomy cuff pressure?
What is the most important nursing procedure to perform prior to tracheostomy care to minimize the risk of infection?
What is the maximum diameter of suction catheter you will use to perform tracheostomy suctioning?
- 1/3 of the diameter of the trach.
- No larger than 1/2 diameter of artificial airway d/t atelectasis risk
When tracheostomy suctioning, remove the catheter from the sleeve and introduce the catheter to about one-third of its length or approximately 10–15 cm or until the patient coughs. If resistance is felt, withdraw the catheter approximately 1 cm before applying suction by placing the thumb over the suction port control and slowly withdrawing the remainder of the catheter.
Rinse the suction tubing by dipping its end into the sterile water bottle and applying suction until the solution has rinsed the tubing through.