Complications associated with insertion of a transtracheal O2 catheter include all of the following except:
a. bleeding.
b. pneumothorax.
c. bronchospasm.
d. abscess.
Q. 2 You are caring for a patient who has just received a transtracheal catheter for long-term continu-ous home O2 therapy. Which of the following problems should you be on guard for with this pa-tient?
1. Airway obstruction
2. Catheter clogging
3. Stoma infection
a. 1 and 2 only
b. 2 and 3 only
c. 1 and 3 only
d. 1, 2, and 3
Q. 3 While visiting a patient who has been receiving transtracheal O2 therapy for 6 months, you note marked erythema and swelling at the stoma site. Which of the following actions would be appro-priate at this time?
a. Question the patient and family about their cleaning methods.
b. Promptly report your observations to the prescribing physician.
c. Liberally apply tincture of benzoin to the stoma site.
d. Flush the catheter and the tubing with H2O2.
Q. 4 A home care patient using a reservoir cannula for long-term, low-flow O2 therapy objects to the cosmetic appearance of the device.
Which of the following alternatives would you recommend to this patient's physician as capable of addressing the patient's concerns?
1. Transtracheal catheter
2. Entrainment mask
3. Pendant reservoir
a. 1 only
b. 2 and 3 only
c. 1 and 2 only
d. 1, 2, and 3
Q. 5 Who should perform routine removing and cleaning of a transtracheal O2 catheter?
a. Visiting nurse
b. Respiratory care practitioner
c. Physician
d. Patient
Q. 6 A home care patient on transtracheal O2 therapy at 0.5 L/min frantically calls you, unable to rein-sert the catheter after cleaning. What would you recommend?
a. Use a clean, pointed instrument to guide catheter reinsertion.
b. Put on a nasal cannula at 1 L/min and call the physician.
c. Insert the catheter into the nasal cavity approximately 3 to 4 in.
d. Insert the catheter into the oral cavity.
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