After suctioning the client's endotracheal tube, which item is ...

[Medesa]

After suctioning the client's endotracheal tube, which item is not required in the documentation of this procedure?
 
  1. Amount, color, and consistency of secretions
  2. Client's response to suctioning
  3. Number of catheter passes required to clear the airway
  4. Breath sounds following suctioning

Question 2

The nurse is caring for a client being weaned from the ventilator, and wants to improve the client's ability to communicate. Which item will the nurse request an order for from the health care provider?
 
  1. Cuffed tracheostomy tube
  2. Uncuffed tracheostomy tube
  3. Fenestrated tracheostomy tube
  4. Obturator

[kardosa007]

Answer to Question 1

Correct Answer: 3

The number of times the catheter was passed would not need to be documented unless the number was excessive. The remaining information would need to be documented on all clients.

Answer to Question 2

Correct Answer: 3

The fenestrated tracheostomy tube allows clients to speak, and could be safely used on the client who is being weaned from the ventilator. The cuffed tracheostomy would need to be deflated in order for the fenestrated tube to function. An uncuffed tube does not improve communication. An obturator is used to make the tracheostomy tube more rigid during insertion, and must be removed as soon as the tube is in place, because it occludes the airway.