Airway Management Worksheet Question & Answer Guide (With Explanation)

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Airway Management Worksheet Name Basic Concepts Points: /20 Circle or highlight the correct answer. A patient must be suctioned frequently through the nose. Which of these actions by the nurse would be most helpful? Placing a nasopharyngeal airway and suctioning through it Ensuring that a humidifier is in the room to thin secretions Providing oxygen by mask rather than by nasal cannula Using petroleum jelly to lubricate the suction catheter What is an advantage of using a Yankauer suction device, or tonsil tip, to suction the patient’s mouth? It can be easily used in both the nose and mouth If the patient bites down, the device will not be damaged and can still be used for suction It does not have to be rinsed with sterile saline before and after suctioning It does not require that the nurse wear gloves because it is contained in a sterile sleeve A patient with a tracheostomy who is not connected to a ventilator begins to choke when drinking water. What action will you take? Inflate the cuff if it is not fully inflated Perform the Heimlich maneuver Call the physician stat Make the patient NPO Your client needs nasopharyngeal suctioning. When is the appropriate time to apply suction? As you insert the suction catheter As you withdraw the suction catheter When inside the nose When the client begins coughing What is the main purpose of pre-oxygenation prior to suctioning? Stimulate cough reflex Loosen secretions Prevent hypoxemia and hypoxia Prevent dysrhythmia When using chest vibration, when should the nurse apply vibrations to the chest wall? During inhalation During exhalation During inhalation and exhalation As the client holds their breath You are caring for an elderly client who is frail and has osteoporosis. She has also been diagnosed with pneumonia. Which chest physiotherapy technique would be most appropriate for this client? Percussion Suctioning Forceful coughing Vibration Your client has an MD order for tracheostomy suctioning prn. Which of the following signs or symptoms indicates a need for suctioning? Ability to cough and expectorate sputum Lung sounds clear Ineffective and weak cough effort Oxygen saturation is 95% While you are suctioning your client, the client’s pulse oximetry drops from 98% to 84%. What measure may have prevented this problem? Oxygenate the client before suctioning Use a smaller suction catheter Lower the suction pressure Instill sterile saline prior to suctioning What is the correct hand position needed to perform chest percussion? Use cupped hands Use the ulnar side of the hand Use the ball of the hand Use the flattened hand (3 points) List three nursing diagnosis’ (problems, not medical diagnosis) for a patient with a respiratory disease like COPD or pneumonia, and describe a sign or symptom (evidence) for each that tells you the patient has each problem. (3 points) For a patient with ineffective airway clearance, list three nursing interventions (not assessments) with the rationale for each. A client at a health care facility has been diagnosed with an upper respiratory disorder. The nurse understands that which of the following structures forms a part of the upper airway? Pharynx Bronchi Alveoli Trachea The nurse plans to collect a sputum specimen from a client for laboratory diagnosis after the client awakens. Which of the following reasons explains the nurse’s choice of an early morning collection? Prevents contamination of the specimen Ensures more mucous is available Removes food residue and microorganisms Mobilizes secretions from the lower airway A nurse is caring for a client who has been having seizures secondary to alcohol withdrawal. The nurse uses an oral airway in order to maintain the client’s airway. What should the nurse do in order to open the airway and facilitate the insertion of the oral airway in the client? Perform oral suctioning if necessary Open the clients mouth with a gloved finger and thumb Position the client supine with the neck hyperextended Hold the airway so that the curved tip points upward. A nurse is performing an admission assessment of a client who has multiple health problems, including a history of respiratory disease. The nurse is aware of the priority of airway management in this client. How is airway management best defined? The prevention and treatment of infections in the upper and lower airway The systematic application of nursing interventions that address the neck and thorax The maintenance of natural or artificial airways for compromised clients The assessment of gas exchange and the mobilization of secretions

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