Chapter 26 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

Chapter 26 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE.  Choose the one alternative that best completes the statement or answers the question.

• Prior to suctioning, the nurse delivers breaths with greater tidal volumes than normal, which is 1) recognized as:

1. A) B) Hyperinflation.
2. C) D) Hypoinflation.

Answer: B

Explanation: A) Delivering a larger tidal volume is hyperinflation, and must be done with care to prevent overdistention of the alveoli. Hyperoxygenating is increasing the oxygen concentration, hyperventilation is breathing quickly, and hypoinflation is

delivering lower-than-normal tidal volumes.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Delivering a larger tidal volume is hyperinflation, and must be done with care to prevent overdistention of the Hyperoxygenating is increasing the oxygen concentration, hyperventilation is breathing quickly, and hypoinflation is

delivering lower-than-normal tidal volumes.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Delivering a larger tidal volume is hyperinflation, and must be done with care to prevent overdistention of the Hyperoxygenating is increasing the oxygen concentration, hyperventilation is breathing quickly, and hypoinflation is

delivering lower-than-normal tidal volumes.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Delivering a larger tidal volume is hyperinflation, and must be done with care to prevent overdistention of the Hyperoxygenating is increasing the oxygen concentration, hyperventilation is breathing quickly, and hypoinflation is

delivering lower-than-normal tidal volumes.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 26-1: Define the key terms used in the skills of suctioning.

 

• The nurse is using a curved hard plastic tube to suction the client’s oral cavity, and recognizes this 2) piece of equipment is called a:

1. A) Whistle-tipped B) Yankauer suction tube.
2. C) Open-tipped D) Closed suctioning system.

Answer: B

Explanation: A)      The Yankauer suction tube is a hard plastic device used for suctioning the client’s oral cavity. Whistle-tipped and open-tipped catheters are soft, pliable catheters, and a closed suctioning system is an inline catheter covered by a plastic sheath. Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The Yankauer suction tube is a hard plastic device used for suctioning the client’s oral Whistle-tipped and open-tipped catheters are soft, pliable catheters, and a closed suctioning system is an inline catheter covered by a plastic sheath. Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The Yankauer suction tube is a hard plastic device used for suctioning the client’s oral Whistle-tipped and open-tipped catheters are soft, pliable catheters, and a closed suctioning system is an inline catheter covered by a plastic sheath. Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The Yankauer suction tube is a hard plastic device used for suctioning the client’s oral Whistle-tipped and open-tipped catheters are soft, pliable catheters, and a closed suctioning system is an inline catheter covered by a plastic sheath. Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 26-1: Define the key terms used in the skills of suctioning.

 

• The nurse is caring for a client who had oromaxillary surgery a few hours The client is 3) arousable, but is still sedated following anesthesia, and sleeps deeply when not disturbed. The client’s respiratory effort is adequate, but he is having trouble maintaining an open airway when asleep. Which of the following airways would the nurse choose for this client?

1. A) Oropharyngeal airway B) Nasopharyngeal airway
2. C) Endotracheal tube D) Tracheostomy

Answer: B

Explanation: A)      Because this client had oromaxillary surgery, an oral airway would not be appropriate, so the best choice would be a nasopharyngeal airway. The client’s respiratory effort is adequate, so there would be no need for the very invasive insertion of an endotracheal tube or tracheostomy.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Planning

1. Because this client had oromaxillary surgery, an oral airway would not be

appropriate, so the best choice would be a nasopharyngeal airway. The client’s respiratory effort is adequate, so there would be no need for the very invasive insertion of an endotracheal tube or tracheostomy.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Planning

1. Because this client had oromaxillary surgery, an oral airway would not be

appropriate, so the best choice would be a nasopharyngeal airway. The client’s respiratory effort is adequate, so there would be no need for the very invasive insertion of an endotracheal tube or tracheostomy.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Planning

1. Because this client had oromaxillary surgery, an oral airway would not be

appropriate, so the best choice would be a nasopharyngeal airway. The client’s respiratory effort is adequate, so there would be no need for the very invasive insertion of an endotracheal tube or tracheostomy.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Planning

Objective: Learning Outcome 26-2: Describe four types of artificial airways.

• The nurse is caring for a client who has sustained a closed head injury, resulting in lack of 4) respiratory effort, two weeks Which of the following airways would be appropriate for this

client?

1. A) Oropharyngeal airway B) Nasopharyngeal airway
2. C) Endotracheal tube D) Tracheostomy

Answer: D

Explanation: A)      This client is two weeks post-injury, and continues to be unable to provide adequate respiratory effort to maintain oxygenation, so the best airway choice would be a tracheostomy. Endotracheal tubes can provide an artificial airway for ventilation short-term, but after 5-7 days, they are usually exchanged for a tracheostomy because of the trauma created by movement of the tube to the airway. An oropharyngeal or nasopharyngeal airway would not be appropriate for a client with inadequate respiratory effort requiring mechanical ventilation. Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Planning

1. This client is two weeks post-injury, and continues to be unable to provide adequate respiratory effort to maintain oxygenation, so the best airway choice would be a Endotracheal tubes can provide an artificial airway for ventilation short-term, but after 5-7 days, they are usually exchanged for a tracheostomy because of the trauma created by movement of the tube to the airway. An oropharyngeal or nasopharyngeal airway would not be appropriate for a client with inadequate respiratory effort requiring mechanical ventilation. Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Planning

1. This client is two weeks post-injury, and continues to be unable to provide adequate respiratory effort to maintain oxygenation, so the best airway choice would be a Endotracheal tubes can provide an artificial airway for ventilation short-term, but after 5-7 days, they are usually exchanged for a tracheostomy because of the trauma created by movement of the tube to the airway. An oropharyngeal or nasopharyngeal airway would not be appropriate for a client with inadequate respiratory effort requiring mechanical ventilation. Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Planning

1. This client is two weeks post-injury, and continues to be unable to provide adequate respiratory effort to maintain oxygenation, so the best airway choice would be a Endotracheal tubes can provide an artificial airway for ventilation short-term, but after 5-7 days, they are usually exchanged for a tracheostomy because of the trauma created by movement of the tube to the airway. An oropharyngeal or nasopharyngeal airway would not be appropriate for a client with inadequate respiratory effort requiring mechanical ventilation. Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Planning

Objective: Learning Outcome 26-2: Describe four types of artificial airways.

 

• The nurse hyperoxygenates and hyperventilates the client prior to suctioning when suctioning 5) which of the following airways?

1. A) Oral cavity B) Oropharyngeal
2. C) Nasopharyngeal D) Endotracheal

Answer: D

Explanation: A)      The nurse would hyperventilate and hyperoxygenate when suctioning the endotracheal airway because the catheter occludes the airway and prevents air inflow during the procedure. When suctioning the oral cavity, oropharynx, or nasopharynx, the nurse would have the client take a deep breath and cough if she were capable of cooperating.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The nurse would hyperventilate and hyperoxygenate when suctioning the

endotracheal airway because the catheter occludes the airway and prevents air inflow during the procedure. When suctioning the oral cavity, oropharynx, or nasopharynx, the nurse would have the client take a deep breath and cough if she were capable of cooperating.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The nurse would hyperventilate and hyperoxygenate when suctioning the

endotracheal airway because the catheter occludes the airway and prevents air inflow during the procedure. When suctioning the oral cavity, oropharynx, or nasopharynx, the nurse would have the client take a deep breath and cough if she were capable of cooperating.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The nurse would hyperventilate and hyperoxygenate when suctioning the

endotracheal airway because the catheter occludes the airway and prevents air inflow during the procedure. When suctioning the oral cavity, oropharynx, or nasopharynx, the nurse would have the client take a deep breath and cough if she were capable of cooperating.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 26-3: Differentiate among oropharyngeal, nasopharyngeal, endotracheal, and tracheostomy suctioning.