Podcast
Questions and Answers
What is the term used to describe the incision made in the windpipe during a tracheostomy procedure?
What is the term used to describe the incision made in the windpipe during a tracheostomy procedure?
In which situation might a patient require a tracheostomy?
In which situation might a patient require a tracheostomy?
What is one of the common risks associated with tracheostomy?
What is one of the common risks associated with tracheostomy?
Why is regular cleaning of the trach tube important?
Why is regular cleaning of the trach tube important?
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What does the term 'stoma' refer to in the context of a tracheostomy?
What does the term 'stoma' refer to in the context of a tracheostomy?
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Which of the following is NOT a reason for performing a tracheostomy?
Which of the following is NOT a reason for performing a tracheostomy?
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What is a tracheo-esophageal fistula?
What is a tracheo-esophageal fistula?
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What goal does a tracheostomy primarily serve?
What goal does a tracheostomy primarily serve?
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What is the purpose of the capillary blood glucose (CBG) test?
What is the purpose of the capillary blood glucose (CBG) test?
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Which of the following lead placements is correctly matched with its location?
Which of the following lead placements is correctly matched with its location?
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Which factor can affect the results of a blood glucose test?
Which factor can affect the results of a blood glucose test?
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What should NOT be done when conducting a capillary blood glucose test?
What should NOT be done when conducting a capillary blood glucose test?
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Which of the following statements is true regarding the ECG lead placements?
Which of the following statements is true regarding the ECG lead placements?
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What is the primary rationale for patting moist surfaces dry with gauze?
What is the primary rationale for patting moist surfaces dry with gauze?
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What is the correct action to take after removing the old tracheostomy ties?
What is the correct action to take after removing the old tracheostomy ties?
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Why should normal saline that has been opened be considered sterile for 24 hours?
Why should normal saline that has been opened be considered sterile for 24 hours?
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What is a nursing consideration before recording an ECG?
What is a nursing consideration before recording an ECG?
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What should patients be instructed to do before undergoing an ECG?
What should patients be instructed to do before undergoing an ECG?
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Which statement about changing tracheostomy ties is correct?
Which statement about changing tracheostomy ties is correct?
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What action is taken after cutting a slit in tracheostomy ties?
What action is taken after cutting a slit in tracheostomy ties?
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What is an important instructional detail regarding ECG electrode placement?
What is an important instructional detail regarding ECG electrode placement?
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What is the purpose of delivering humidified air through a tracheostomy collar?
What is the purpose of delivering humidified air through a tracheostomy collar?
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What should be assessed before performing independent tracheostomy care?
What should be assessed before performing independent tracheostomy care?
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What is the first step in preparing for sterile tracheostomy care?
What is the first step in preparing for sterile tracheostomy care?
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What should be done to the cuff of the tracheostomy tube before performing suctioning?
What should be done to the cuff of the tracheostomy tube before performing suctioning?
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What items are typically included in a sterile tracheostomy care kit?
What items are typically included in a sterile tracheostomy care kit?
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Why is it important to encourage the client to deep-breathe during tracheostomy care?
Why is it important to encourage the client to deep-breathe during tracheostomy care?
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Which of the following actions should NOT be performed while suctioning through the tracheostomy tube?
Which of the following actions should NOT be performed while suctioning through the tracheostomy tube?
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What is the role of normal saline in sterile tracheostomy care?
What is the role of normal saline in sterile tracheostomy care?
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What is the primary purpose of an ECG?
What is the primary purpose of an ECG?
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Which of the following actions should be avoided before an ECG test?
Which of the following actions should be avoided before an ECG test?
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Why is the correct positioning of leads essential for a 12 lead ECG?
Why is the correct positioning of leads essential for a 12 lead ECG?
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Which is a nursing responsibility during an ECG test?
Which is a nursing responsibility during an ECG test?
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What might excessive hair growth on a patient's chest indicate for ECG preparation?
What might excessive hair growth on a patient's chest indicate for ECG preparation?
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What information should be gathered from a client's medical record before an ECG?
What information should be gathered from a client's medical record before an ECG?
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What does shivering during an ECG test most likely indicate?
What does shivering during an ECG test most likely indicate?
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What can an ECG help determine regarding a heart attack?
What can an ECG help determine regarding a heart attack?
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Study Notes
Tracheostomy Care
- Routine care is essential to prevent infection and obstruction; includes frequent suctioning to maintain a patent airway.
- Nurses and respiratory therapists collaboratively perform tracheostomy care and suctioning.
- Tracheotomy refers to the incision in the windpipe; tracheostomy refers to the resulting opening or stoma.
- Indications for a tracheostomy include upper airway obstruction, difficulty swallowing, breathing issues from injuries or lung conditions, or the need for mechanical ventilation beyond a week.
- Common risks associated with tracheostomy include bleeding, infection, damage to the esophagus or trachea, and the formation of a tracheo-esophageal fistula.
- Regular cleaning of the trach tube is crucial for preventing stoma site infection and maintaining airway humidity.
- Equipment needed for tracheostomy care includes sterile gloves, saline, hydrogen peroxide, gauze, and tracheostomy ties.
ECG Preparation
- Nurses must prepare the patient for an ECG by reviewing medical records, assessing heart rate, and checking for skin issues that may impede electrode placement.
- Patients should remove metallic objects, possibly shave excess chest hair, avoid cold drinks, and refrain from exercise just before the test.
- An ECG detects heart rate and rhythm issues, including current or past heart attacks.
- Correct lead placement is vital; improper positioning may result in false diagnoses.
12 Lead ECG Placement
- V1: Fourth intercostal space on the right sternum
- V2: Fourth intercostal space on the left sternum
- V3: Midway between V2 and V4
- V4: Fifth intercostal space at the midclavicular line
- V5: Anterior axillary line on the same level as V4
- V6: Mid-axillary line on the same level as V4 and V5
Capillary Blood Glucose (CBG)
- CBG testing is used for monitoring glucose levels in patients with insulin-dependent (Type I) and non-insulin-dependent diabetes (Type II).
- Insufficient blood drop can affect results; avoid massaging the finger during testing.
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Description
Test your knowledge on tracheostomy care, including routine practices, suctioning techniques, and the roles of healthcare professionals involved. This quiz explores the essential information required for maintaining a patent airway and preventing complications in tracheostomy patients.
