Wilma was shocked to see that the Tracheostomy was dislodged. Both the inner and outer cannulas was removed and left hanging on James' neck. What are the 2 equipment's at james' bedside that could help Wilma deal with this situation?

Correct Answer: A

Rationale: In this scenario, the correct answer is A) New set of tracheostomy tubes and Oxygen tank. This is the most appropriate choice because in the event of a dislodged tracheostomy tube, immediate replacement of the tubes is crucial to maintain the airway patency and ensure adequate oxygenation for the patient. The oxygen tank is also necessary to provide supplemental oxygen to the patient during this emergency situation. Option B) Theophylline and Epinephrine are medications that are not relevant to the immediate management of a dislodged tracheostomy tube. These medications are not used to address airway emergencies. Option C) Obturator and Kelly clamp are also not the correct choices in this situation. While an obturator can be used to guide the tracheostomy tube during insertion, and a Kelly clamp can be used for securing the tracheostomy tube in place, neither of these items address the immediate need for replacing the dislodged tracheostomy tubes. Option D) Sterile saline dressing is used for wound care and is not directly related to the management of a dislodged tracheostomy tube. In an educational context, it is important for healthcare providers, especially nurses, to be well-versed in emergency situations such as a dislodged tracheostomy tube. Understanding the appropriate equipment and interventions necessary in such scenarios is crucial for providing safe and effective patient care. Regular training and simulation exercises can help nurses develop the skills and confidence needed to respond effectively in emergencies like this.

Correct Answer: D

Rationale: The last step when inserting an IV cannula is to place a sterile dressing over the insertion site. This helps to protect the site from contamination and reduce the risk of infection. A sterile dressing also helps to maintain the integrity of the insertion site and prevent any foreign materials from entering the wound. Additionally, the dressing provides a barrier between the cannula site and the external environment, promoting healing and reducing the chance of complications.

Correct Answer: C

Rationale: Radiation therapy for lung cancer is typically used with the goal of increasing comfort for the patient by reducing symptoms such as pain, shortness of breath, and coughing. While it may help to shrink tumors and slow the progression of the disease, it is usually not considered a curative treatment for advanced lung cancer. It is important for the patient to have realistic expectations and understand that the goal of radiation therapy is primarily to improve their quality of life and manage symptoms.

Correct Answer: C

Rationale: Bronchiectasis is a condition characterized by the abnormal widening and thickening of the bronchial tubes, leading to a build-up of mucus. One of the common assessment findings in clients with bronchiectasis is the expectoration of small amounts of sputum. This is due to the increased mucus production and impaired clearance from the airways. The sputum may be foul-smelling and may contain pus or blood due to chronic infection and inflammation in the bronchial tubes.

Correct Answer: B

Rationale: Chorea is the result of central nervous system manifestations. Chorea is a movement disorder characterized by involuntary, brief, random, and irregular muscle movements that are often seen in neurological conditions such as Huntington's disease. The central nervous system is responsible for controlling and coordinating movements, so any dysfunction in the central nervous system can lead to movement disorders like chorea. Therefore, chorea is directly related to central nervous system manifestations, unlike congestive heart failure, valve damage, or pericarditis which are primarily related to cardiovascular issues.