What is the principal difference in tracheostomy care between ...

[Kthamas]

What is the principal difference in tracheostomy care between care given in the acute care setting and care given in the home care environment?
 
  a. In the acute care setting, the inner cannula is cleaned.
  b. In the home care setting, dressings are not necessary.
  c. In the acute care setting, hydrogen peroxide is used for cleaning.
  d. In the home care setting, the procedure may be done with clean technique.

Question 2

The nurse is preparing to apply a gauze bandage to a dressing on the patient's wrist. How should the nurse proceed?
 
  a. Use a 3-inch bandage.
  b. Use a 2-inch bandage.
  c. Apply from the elbow toward the wrist.
  d. Secure the bandage with a safety pin.

[joewallace]

Answer to Question 1

D
The indications for performing tracheostomy care and suctioning in the home are similar to those for tracheostomy care and suctioning in the hospital, except for one key variable: the use of medical asepsis or clean technique. In the hospital, principles of surgical asepsis are used because the patient is more susceptible to infection, and because the hospital contains more virulent or pathogenic microorganisms than are usually present in the home setting. In the home setting, most patients use clean technique. Inner cannula care is performed both at home and in the acute care setting. The inner cannula is available in both disposable and nondisposable forms. Fresh trach dressings protect the skin around the stoma from pressure breakdown and collect secretions; they are necessary in both acute care and home care settings. Hydrogen peroxide may be used in both home care and acute care settings.

Answer to Question 2

B
When applying a gauze or elastic bandage, you select a type of bandage and bandage width depending on the size and shape of the body part to be bandaged. For example, 3-inch bandages are used most commonly for the adult leg. A smaller, 2-inch bandage normally is used for the upper extremity. When applying an elastic bandage to an extremity, start the bandage at the site farthest from the heart (distal) and proceed toward the heart (proximal). Use adhesive tape or special clips rather than safety pins to fasten the bandage.

[Kthamas]

Excellent

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TYSM