Questions and Answers
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?
What is one of the common risks associated with tracheostomy?
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?
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Which of the following is NOT a reason for performing a tracheostomy?
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What is a tracheo-esophageal fistula?
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What goal does a tracheostomy primarily serve?
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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?
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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?
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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?
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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?
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What is a nursing consideration before recording an ECG?
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What should patients be instructed to do before undergoing an ECG?
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Which statement about changing tracheostomy ties is correct?
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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?
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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?
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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?
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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?
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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?
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What is the primary purpose of an ECG?
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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?
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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?
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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?
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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.
