ATI Chapter 53: Airway Management/Oxygen Therapy

question

What is an oropharyngeal airway used for?
answer

Used to keep the upper airway patent when it is at risk for becoming obstructed by the tongue or by secretions.
question

What patient population should oropharyngeal airways be used on?
answer

Patients who LOC is altered because if gag reflex
question

What is a nasopharyngeal airway used for?
answer

Used to keep the upper airway patent. They are inserted through the nares and extend into the oropharynx
question

Endotracheal tube are used for what?
answer

Used for patients undergoing a procedure that requires general anesthesia and/or mechanial ventilation.
question

ET tubes are not usually left in place for more than 14 days. Why?
answer

Risk of infection and airway injury
question

Tracheostomy tubes are used for what?
answer

Used for patients who need long-term airway support.
question

Suctioning clears secretions from the airway of patients who cannot ______ and ________ them without assistance.
answer

Mobilize; expectorate
question

What are some complications of suctioning?
answer

Hypoxia, injury to the airway, nosocomial infections, and cardiac dysrhythmias.
question

What are the most common types of suctioning?
answer

Oropharyngeal, nasopharyngeal, nasotracheal. and artificial airway
question

Nasotrachial suctioning is considered sterile or nonsterile?
answer

Sterile
question

Yankauer suction cath. can help clear secretions from the ____.
answer

Mouth
question

Can you use a Yankauer suction cath. more than once on the same patient?
answer

Yes!
question

Nasopharyngeal and nasotrachel suctioning helps remove secretion from where?
answer

Lower airway of patients who cannot cough and do not have an artificial airway
question

What is the goal of chest physiotherapy?
answer

To loosen respiratory secretions and move them into the central airways where they can be removed by coughing or suctioning.
question

What is postural drainage?
answer

Performed to remove secretions by gravity from different areas of the lungs.
question

How often is postural drainage performed?
answer

Two to three times a day, often before meals and at bedtime
question

What are the most common hazards of oxygen therapy?
answer

Fire, equipment malfunction, and pressure hazards
question

Oxygen therapy is indicated for patients who are at risk for developing?
answer

Hypoxia
question

Who is at risk for hypoxia?
answer

Patients who are recovering from surgery and may be in pain or still sedated, respiratory illness that causes excessive secretions to accumulate in the lungs or conditions that reduce the circulation of blood through the lungs.
question

What are the signs and symptoms of early stage hypoxia?
answer

Patient often feels restless and confused and might report feeling anxious. Vitals might also vary from baseline
question

What are the signs and symptoms of late stage hypoxia?
answer

The patient is likely to develop hypotension, bradycardia, and metabolic acidosis, and develop cyanosis.
question

Chronic hypoxia signs and symptoms are?
answer

Clubbing of fingers and toes, peripheral edema, right-sided heart failure, and oxygen saturation below 87%
question

A nurse is assessing a client who has an acute respiratory infection that puts her at risk for hypoxemia. Which of the following findings are early indications that should alert the nurse that the client is developing hypoxemia? (Select all that apply.) A. Restlessness B. Tachypnea C. Bradycardia D. Confusion E. Pallor
answer

A, B, E
question

A nurse is caring for a client who is having difficulty breathing. The client is lying in bed and is already receiving oxygen therapy via nasal cannula. Which of the following interventions is the nurse’s priority? A. Increase the oxygen flow. B. Assist the client to Fowler’s position. C. Promote removal of pulmonary secretions. D. Obtain a specimen for arterial blood gases.
answer

B
question

A nurse is preparing to perform endotracheal suctioning for a client. Which of the following are appropriate guidelines for the nurse to follow? (Select all that apply.) A. Apply suction while withdrawing the catheter. B. Perform suctioning on a routine basis, every 2 to 3 hr. C. Maintain medical asepsis during suctioning. D. Use a new catheter for each suctioning attempt. E. Limit suctioning to two to three attempts.
answer

A, D, E
question

A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take each time he provides tracheostomy care? (Select all that apply.) A. Apply the oxygen source loosely if the SpO2 decreases during the procedure. B. Use surgical asepsis to remove and clean the inner cannula. C. Clean the outer surfaces in a circular motion from the stoma site outward. D. Replace the tracheostomy ties with new ties. E. Cut a slit in gauze squares to place beneath the tube holder.
answer

A, B, C
question

A provider is discharging a client with a prescription for home oxygen therapy via nasal cannula. Client and family teaching by the nurse should include which of the following instructions? (Select all that apply.) A. Apply petroleum jelly around and inside the nares. B. Remove the nasal cannula during mealtimes. C. Check the position of the cannula frequently. D. Report any nasal stuffiness, nausea, or fatigue. E. Post “no smoking” signs in a prominent location.
answer

C, D, E

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