Respiratory Major Surgical Procedures: Tracheostomy

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Questions and Answers

What is a lobectomy primarily performed for?

Diffuse malignant pleural mesothelioma

Slow electrical problems with the heart

Non-small cell lung cancer confined to a single lobe (correct)

Severe coronary heart disease

Which procedure is the most extensive type of lung resection?

Lobectomy

Pneumonectomy (correct)

Thoracotomy

Video-assisted thoracic surgery (VATS)

What is a primary nursing responsibility after a Coronary Artery Bypass Grafting (CABG)?

Administer pain medication every hour

Perform regular wound care for the surgical site

Ensure airway patency and monitor pulmonary status (correct)

Monitor the patient’s blood sugar levels

What complication might a pacemaker insertion help address?

Bradycardia Signup and view all the answers

Which statement is true regarding video-assisted thoracic surgery (VATS)?

It is a less invasive option for a pneumonectomy. Signup and view all the answers

What is a common indication for valve replacement surgery?

Diseased heart valves causing functional issues Signup and view all the answers

Which of the following should be avoided to ensure proper pacemaker function?

Using certain electronic devices near the pacemaker Signup and view all the answers

What type of patients generally undergo a pneumonectomy?

Patients with diffuse pleural cancers Signup and view all the answers

What is the primary purpose of a tracheostomy?

To create an airway for better ventilation Signup and view all the answers

What condition is commonly treated using thoracostomy?

Pneumothorax Signup and view all the answers

Which is NOT a reason to perform a tracheostomy?

Severe lung infection Signup and view all the answers

What is the nursing responsibility in managing a chest tube?

Checking for air leaks in the water seal Signup and view all the answers

In what scenario would a lung resection be indicated?

For treatment of pulmonary malignancy Signup and view all the answers

Which of the following describes a lobectomy?

Removal of a single lobe of the lung Signup and view all the answers

Which action should be taken for accidental drain removal from a chest tube?

Apply pressure to the exit site and seal with sterile strips Signup and view all the answers

What is a possible complication of managing a tracheostomy?

Infection at the stoma site Signup and view all the answers

Study Notes

Respiratory Major Surgical Procedures

Tracheostomy: Creation of an opening in the neck to insert a tube into the windpipe, facilitating air entry into the lungs.
- Indications: Bypass obstructed upper airway, manage secretions, and enhance oxygen delivery.
- Often required for conditions like acute respiratory failure and upper airway obstruction.
Thoracostomy: A small incision in the chest wall maintained for drainage, commonly for pneumothorax treatment.
- Methods include needle thoracostomy and chest tubes, which drain fluid, blood, or air around the lungs.
- Conditions treated: Pneumothorax, hemothorax, pleural effusion, empyema, and chylothorax.
- Nursing responsibilities include monitoring oscillations and air leaks, drainage consistency, and preparing for emergencies.
Lung Resection: Surgical removal of a section or entire lung for damaged or diseased lung tissue.
- Commonly indicated for pulmonary malignancies, infections, or trauma.
Lobectomy: Surgical removal of a lung lobe, typically for localized issues such as tumors or infections.
- Frequently performed for non-small cell lung cancers confined to a single lobe.
Pneumonectomy: Removal of an entire lung, often indicated for diffuse pleural cancers.
- Most extensive lung resection, potentially executed via thoracotomy or video-assisted thoracic surgery (VATS).

Cardiac Major Surgical Procedures

Coronary Artery Bypass Grafting (CABG): Surgery to improve blood flow to the heart by bypassing blocked coronary arteries.
- Indicated for severe coronary heart disease to prevent heart attacks.
- Nursing responsibilities include monitoring airway patency, vital signs, intake/output, and assessing neurological and hemodynamic status.
Pacemaker Insertion: Implantation of an electronic device to regulate heartbeats, particularly for bradycardia or heart block.
- Precautions include avoiding close proximity to certain electronics and metal detectors to ensure proper functioning.
Valve Replacement: Surgical procedure to replace diseased heart valves, correcting associated cardiovascular issues.

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Description

This quiz focuses on the surgical procedure known as tracheostomy, which involves creating an opening in the neck to insert a tube for improved air passage. It covers indications for the procedure, its temporary or permanent nature, and its benefits for patients with obstructed airways. Test your knowledge on the essential aspects of this critical respiratory intervention.