Chapter 27 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

Chapter 27 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.

• The nurse is caring for a client being weaned from the ventilator, and wants to improve the client’s 1) ability to The nurse would request an order for a/n:

1. A) Cuffed tracheostomy B) Uncuffed tracheostomy tube.
2. C) Fenestrated tracheostomy D) Obturator.

Answer: C

Explanation: A)       The fenestrated tracheostomy tube allows clients to speak, and could be safely used on the client who is being weaned from the ventilator. The cuffed tracheostomy would need to be deflated in order for the fenestrated tube to function. An uncuffed tube does not improve communication. An obturator is used to make the tracheostomy tube more rigid during insertion, and must be removed

as soon as the tube is in place, because it occludes the airway.

Cognitive Level: Knowledge

Client Need: Psychosocial Integrity

Nursing Process: Planning

1. The fenestrated tracheostomy tube allows clients to speak, and could be safely used on the client who is being weaned from the The cuffed tracheostomy would need to be deflated in order for the fenestrated tube to function. An uncuffed tube does not improve communication. An obturator is used to make the tracheostomy tube more rigid during insertion, and must be removed

as soon as the tube is in place, because it occludes the airway.

Cognitive Level: Knowledge

Client Need: Psychosocial Integrity

Nursing Process: Planning

1. The fenestrated tracheostomy tube allows clients to speak, and could be safely used on the client who is being weaned from the The cuffed tracheostomy would need to be deflated in order for the fenestrated tube to function. An uncuffed tube does not improve communication. An obturator is used to make the tracheostomy tube more rigid during insertion, and must be removed

as soon as the tube is in place, because it occludes the airway.

Cognitive Level: Knowledge

Client Need: Psychosocial Integrity

Nursing Process: Planning

1. The fenestrated tracheostomy tube allows clients to speak, and could be safely used on the client who is being weaned from the The cuffed tracheostomy would need to be deflated in order for the fenestrated tube to function. An uncuffed tube does not improve communication. An obturator is used to make the tracheostomy tube more rigid during insertion, and must be removed

as soon as the tube is in place, because it occludes the airway.

Cognitive Level: Knowledge

Client Need: Psychosocial Integrity

Nursing Process: Planning

Objective: Learning Outcome 27-1: Define the key terms used in the skills of caring for the client with a

tracheostomy.

 

• The nurse is performing tracheostomy care, and ties the new trach ties to the: 2)

1. Inner B) Outer cannula.             C) Obturator.                   D) Flange.

Answer: D

Explanation: A)      The trach ties attach to the flange. The other choices are incorrect. Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The trach ties attach to the flange. The other choices are incorrect.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The trach ties attach to the flange. The other choices are incorrect.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The trach ties attach to the flange. The other choices are incorrect.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 27-1: Define the key terms used in the skills of caring for the client with a tracheostomy.

 

• The nurse is caring for a client with a longstanding permanent tracheostomy that has been in place 3) for several years in order to provide mechanical The nurse anticipates this client might

have a/n:

1. A) Uncuffed B) Cuffed tracheostomy.
2. C) Fenestrated D) Uncuffed or fenestrated tracheostomy.

Answer: B

Explanation: A)      Cuffed tracheostomy tubes are essential when the client requires mechanical ventilation because they provide a seal so that air does not leak when the ventilator provides a breath. The client with a long-term tracheostomy who does not require

mechanical ventilation would be likely to have an uncuffed tube.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Assessment

1. Cuffed tracheostomy tubes are essential when the client requires mechanical ventilation because they provide a seal so that air does not leak when the ventilator provides a The client with a long-term tracheostomy who does not require

mechanical ventilation would be likely to have an uncuffed tube.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Assessment

1. Cuffed tracheostomy tubes are essential when the client requires mechanical ventilation because they provide a seal so that air does not leak when the ventilator provides a The client with a long-term tracheostomy who does not require

mechanical ventilation would be likely to have an uncuffed tube.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Assessment

1. Cuffed tracheostomy tubes are essential when the client requires mechanical ventilation because they provide a seal so that air does not leak when the ventilator provides a The client with a long-term tracheostomy who does not require

mechanical ventilation would be likely to have an uncuffed tube.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Assessment

Objective: Learning Outcome 27-2: List three types of tracheostomy tubes.

 

• The nurse is working in the pediatric intensive care unit, and is caring for a young child with a 4) The nurse anticipates this client has a/n:

1. A) Uncuffed B) Cuffed tube.
2. C) Tube with an inner D) Tube with a low-pressure cuff.

Answer: A

Explanation: A) Pediatric clients do not generally require a cuff to maintain the tube in place, because their tracheas are resilient enough to seal the space around the tube.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Planning

1. Pediatric clients do not generally require a cuff to maintain the tube in place, because their tracheas are resilient enough to seal the space around the

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Planning

1. Pediatric clients do not generally require a cuff to maintain the tube in place, because their tracheas are resilient enough to seal the space around the

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Planning

1. Pediatric clients do not generally require a cuff to maintain the tube in place, because their tracheas are resilient enough to seal the space around the

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Planning

Objective: Learning Outcome 27-2: List three types of tracheostomy tubes.