A nurse is caring for a client with a tracheostomy and notes that the client has gurgling sounds coming from the trach site, is breathing rapidly, and is trying to cough. Which action should the nurse perform first?
A nurse is caring for a client who has a tracheostomy. The nurse decides to perform a tracheal cuff-pressure measurement. Which of the following are considerations regarding this process? Select all that apply.
A nurse is caring for a client who had a tracheostomy placed 2 days ago. The nurse enters the room and makes the following observations during a safety check. Which of the following observations would be the MOST concerning?
A nurse is caring for a client with a new tracheostomy. The client has pneumonia with a WBC count of 4.6 x 10^9/L and is receiving morphine for pain control. Which of the following precautions is the priority at this time?
A client is being seen in the emergency department after a spinal cord injury. The client initially states an inability to feel anything below the shoulders. At which point would this client need to be intubated with an endotracheal tube?
A nurse is assisting a provider with rapid sequence intubation (RSI). Which of the following explains the difference between RSI and standard endotracheal intubation? Select all that apply.
A tornado warning has been issued in the hospital where a nurse is employed. The nurse works in the neonatal intensive care unit and is caring for a baby who is on a ventilator and uses nitrous oxide. Which response of the nurse would best protect this infant?
Which of the following nursing interventions would be the priority to prevent tracheal necrosis in a client with an endotracheal tube in place?
A client is admitted to the floor after having a tracheostomy placed 72 hours ago. Which of the following pieces of equipment is the priority to keep at the bedside at all times?
A nurse is educating a client who had a tracheostomy placed yesterday about the need for humidified oxygen. Which statement by the client reflects appropriate education was provided?
