Chapter 40: Respiratory Support and Therapies
Terms in this set (35)
The escape and collection of fluid in the pleural space is
__________ is the blood in the pleural space.
A ___________ is a surgically created opening into the trachea.
___________ is the process of withdrawing or sucking up fluid.
Inserting an artificial airway is
_____________ is air in the pleural space.
___________ is using a machine to move air into and out of the lungs.
__________ is open or unblocked.
When caring for a person with an artificial airway, you should tell the nurse at once if
The airway comes out or is dislodged
Because a person with an endotracheal tube cannot speak, it is important to
Always keep the call light within reach.
The person with an ET can communicate by
Using paper and pencil, Magic Slates, or communication boards.
If you are caring for a person with an artificial airway, your care should always include
Comforting and re-assuring the person that the airway helps breathing.
The stoma or tube must be
Covered when shaving
If you are assisting with tacheostomy care, you may be delegated to
Clean a re-usable cannula with a cleaning agent that the nurse tells you to use.
When suctioning is done, the nurse
Follows Standard Precautions and the blood-borne Pathogen Standard.
If you are caring for a person who needs suctioning, you know that suctioning is done
When signs and symptoms of respiratory distress are observed
When the alarm sounds on a machine used for mechanical ventilation, you should first
Check to see if the person's tube is attached to the ventilator
When caring for a person with chest tubes, tell the nurse at once if
The bubbling in the drainage system has increased.
Petrolatum gauze is kept at the bedside of a person with chest tubes to
Cover the insertion site if the chest tube comes out.
When assisting with suctioning, tell the nurse if there is
A. A decrease in ___________ to less than __________
C. An increase or decrease in
D. Signs of
E. Decrease in oxygen
A. Pulse rate; 60 beats per minute
C. Blood pressure
D. Respiratory distress
What are the 3 parts of a tracheostomy tube?
- Inner cannula
- Outer cannula
Which part of the tracheostomy tube is removed for cleaning and mucus removal?
Which part of the tracheostomy tube is not removed?
If a person with tracheostomy is outdoors, what is used to cover the tracheostomy?
A stoma cover, scarf, or shirt or blouse that buttons at the neck
A suction cycle takes no more than ______ seconds. The cycle involves
- 10 to 15
A. Inserting the catheter
C. Removing the catheter
Before, during, and after suctioning, what is checked and observed?
- Pulse oximeter
- Level of consciousness
When a person has mechanical ventilation, what should you do when you enter the room?
Explain who you are and what you are going to do; tell the person you are leaving the room and when you will return.
What should you do each time you leave the room of a person with mechanical ventilation?
Complete a safety check before leaving the room.
If chest tubes are in place, what should be reported to the nurse at once?
- Vital signs and pulse oximetry
- Signs and symptoms of hypoxia and respiratory distress
- Complaints of pain or difficulty breathing
- Changes in chest drainage (this includes increases in drainage or the appearance of bright red drainage)
- If bubbling in the drainage system increases, decreases, or stops
- If any part of the drainage system is loose or disconnected
It is important to report signs and symptoms that a person needs suctioning because the airway must be clear for
When a person has an ET tube, you show dignity and respect when providing care by
- Telling the person when he or she will be moved or touched.
- Explaining what the person will feel. Also say where it will be felt.
- Talking to the person. Discuss pleasant things.
- Focusing on the person. Do not ignore the person or talk with co-workers about personal matters.
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