ATI skills module 3.1 airway management
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A nurse is suctioning a client's airway using in-line suctioning. Which of the
following actions should the nurse plan to take?
A. hyperoxygenate the client before disconnecting the ventilator
B. apply suction pressure while advancing the catheter
C. wear face shield during the procedure
D. reuse the catheter repeadtedly
- ANSWER D. reuse the catheter repeatedly
with in-line suctioning, the catheter attaches to the ventilator tubing and does not
need to be replaced until the system is replaced. It can be used repeatedly
A nurse is caring for a client who sustained trauma to their head and neck and will
require a long-term airway support. Which of the following pieces of equiptment
will be required for home health care for this client?
A. nasopharyngeal airway device
B. oropharyngeal airway device
C. endotracheal tube
D. tracheostomy tube
,- ANSWER D. tracheostomy tube
used for long-term airway support. suitable device for long-term management of
airway obstruction
A nurse is performing chest physiotherapy for a client who needs help mobilizing
and expectorating thick pulmonary secretions. To increase the turbulence of the
air the client exhales, the nurse should use with of the following techniques?
A. vibration
B. percussion
C. nebulizatoin
D. postural drainage
- ANSWER A. vibration
used during or after percussion to increase the turbulence of exhaled air to loosen
secretions
A nurse is preparing to suction a client's tracheostomy. Which of the following
actions should the nurse take?
A. suction for 30 seconds with each pass
B. allow 2 min in between suctioning to reoxygenate the lungs
C. use a rotating motion when inserting the catheter from the tracheostomy
D. set the suction pressure to 190 mmgh
- ANSWER B. allow 2 min in between suctioning to reoxygenate the lungs
, allows the client to cough and deep breathe and allow the lungs to reoxygenate
A nurse is caring for a client who has a cuffed endotracheal (ET) tube in place.
Which of the following actions should the nurse plant to take?
A. reposition the ET tube in the clients mouth every 12 hr
B. providing oral care every 24 hr
C. applying the securing tape over the client's ears
D. maintaining a cuff pressure of 35 mmhg
- ANSWER A. reposition the ET tube in the clients mouth every 12 hr
moving the ET tube to the other side of the clients mouth every 12 hr (or
according to facility policy) helps prevent irritation to the oral mucous membranes
A nurse is caring for a client who has a tracheostomy tube with an inner cannula in
place. Which os the following supplies should the nurse use to dry the inner
cannula of the client's tracheostomy tube after cleaning it?
A. paper towels
B. cotton-tipped applicators
C. folded pipe cleaners
D. facial tissue
- ANSWER C. folded pipe cleaners remain intact without leaving any particulate
matter client could aspirate
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