Author Question: A client who has an endotracheal tube is being considered for a tracheostomy. Which of the following ... (Read 72 times)

2125004343 · **on:** Jun 25, 2018

A client who has an endotracheal tube is being considered for a tracheostomy. Which of the following criteria would support the placement of a tracheostomy in this client?

1. Client is unable to maintain airway when extubated.
2. Client has a history of diabetes mellitus.
3. Client has been diagnosed with hypertension.
4. Client is coughing and bucking the endotracheal tube.

Question 2

A client is scheduled for a cardiac angiogram. Which of the following should the nurse instruct the client about this diagnostic test?

1. It is noninvasive.
2. Contrast dye is injected.
3. Clients can move about after the procedure.
4. General anesthesia is used.

amy.lauersdorf90 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

1
A tracheostomy tube would be indicated for clients who fail to wean rapidly, are unable to protect the airway for a prolonged period of time because of neurological problems, and have problems with oropharyngeal trauma. A history of diabetes mellitus or hypertension are not indications for the placement of a tracheostomy. Client coughing and bucking the endotracheal tube could be indications that the client can maintain the airway.

Answer to Question 2

2
A cardiac angiogram is a procedure that visualizes the structures of the heart and vessels. This is an invasive procedure; however, it does not need general anesthesia. The client is awake during the procedure. A contrast dye is injected, and the client may feel a warm sensation. The client must maintain bed rest with the leg straight for up to 4 to 6 hours after the catheter is removed.