A patient with a tracheostomy tube has thick, tenacious mucus that is difficult to remove. The nurse should choose which technique to suction the airway?
a. Normal saline instillation (NSI) before suctioning
b. Dry suctioning 1 time followed by NSI with suctioning 2 more times
c. Dry suctioning as long as the heart rate is above 60 beats/min
d. Dry suctioning
Question 2The nurse, physician, and dietitian collaborate to select an enteral feeding formula for the patient. Their decision should be based on which of the following? (Select all that apply.)
a. Protein requirements of the patient
b. Digestive ability of the patient
c. Amount of lactose required
d. The patient's disease process
Question 3The ____________ provides positive expiratory pressure (PEP) with oral airway oscillations.
Fill in the blanks with correct word
Question 4The system that lines the internal lumen of the tracheobronchial tree and consists of a thin layer of mucus that constantly is propelled toward the larynx by cilia is called the __________.
Fill in the blanks with correct word
Question 5Which technique is appropriate for providing intermittent tube feeding once placement of the tube has been checked?
a. Cooling the formula
b. Lowering the head of the bed
c. Allowing the bag to empty gradually over 30 to 45 minutes
d. Adding food coloring to detect aspiration
Question 6What is an appropriate amount of nasogastric irrigant for an adult patient?
a. 1 or 2 mL
b. 30 mL
c. 5 to 15 mL
d. 250 mL
Question 7Which evaluation indicates that placement of a nasogastric or enteric tube is correct?
a. Nasointestinal aspirate with a pH of less than 6
b. Pleural fluid pH of less than 6
c. Gastric aspirate with a pH of 5 or less after patient fasting
d. Gastric aspirate with a pH of 4 and continuous tube feedings
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