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TL Respiratory Skill
Nursing skills for the respiratory client
| Question | Answer |
|---|---|
| Describe the process for tracheal suctioning. | Use aseptic/sterile technique; wear mask and goggles; advance catheter until resistance is felt; apply suction only when withdrawing; gently rotate while withdrawing |
| Discuss how much O2 and when O2 should be administered for the client receiving tracheal suctioning. | oxygenate with 100% O2 for 1-2 minutes before and after suctioning to prevent hypoxia |
| When should suctioning be performed? | when adventitious breathe sounds are heard; when there are secretions in the endotracheal tube; when gurgling is noted |
| Discuss the length of suctioning and the appropriate number of passes. | never suction for more than 10 – 15 seconds or only three to four passes |
| What are 3 checks the nurse should make when her patient is on a ventilator? | Verify that alarms are on; ensure that settings are maintained/set as prescribed; verify ventilator function Q 4 hours |
| What delivery method would be best for low flow and concentration of oxygen such as required by the patient with COPD? | nasal cannula |
| What delivery method offers low flow but can deliver higher oxygen concentrations than the nasal cannula (> 40%)? | Simple face mask |
| What delivery method can provide O2 at 60-90% at a low flow rate? | Nonrebreather mask |
| What is the function of the partial rebreather mask? | can deliver high oxygen concentrations; low-flow oxygen reservoir bag attached |
| What is the function of the venture mask? | Delivers high flow oxygen in exact concentrations |
| Describe tracheostomy care. | use aseptic technique; remover inner cannula only from stoma; clean nondisposable inner cannula with hydrogen peroxide and rinse with sterile saline; apply 4x4 gauze dressing butterfly folded |
| What are the rules for respiratory isolation? | Private room required; everyone who goes in wears a mask; if the client comes out they wear a mask |
| Describe the proper use of an inhaler. | exhale completely; grip mouth piece in mouth (if spacer) or open mouth to inhale misted medication; inhale slowly while pushing firmly down on the inhaler to release medication; use bronchodilators before steroid inhalers |
Created by:
Perseverandovercome
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