A nurse is providing tracheostomy care. What action by the nurse requires intervention by the charge nurse?

Questions 31

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Questions on the Respiratory System Questions

Question 1 of 5

A nurse is providing tracheostomy care. What action by the nurse requires intervention by the charge nurse?

Correct Answer: C

Rationale: The correct answer is C. Tying a square knot at the back of the neck is incorrect because it can be too tight and cause discomfort or restrict airflow. A is correct as holding the device securely is necessary for safety. B is correct as suctioning before changing ties prevents aspiration. D is correct as using half-strength peroxide is appropriate for cleaning. Tying a square knot can lead to complications, making it the action that requires intervention.

Question 2 of 5

Which of the following are normal breath sounds?

Correct Answer: C

Rationale: The correct answer is C. Normal breath sounds over the lung fields are vesicular, characterized as quiet and low-pitched. A is incorrect because bronchial breath sounds over the trachea are high-pitched and loud. B is incorrect as these intermediate sounds occur near large airways, not throughout the lung fields. D describes adventitious sounds like wheezing or crackles, which are abnormal.

Question 3 of 5

Which of the following is a sign or symptom characteristic of the later stages of TB?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

Which assessment information will you need to communicate to the physician?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

During a health promotion program, why should the nurse plan to target women in a discussion of lung cancer prevention?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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