Author Question: Which information is appropriate to include in the care plan for a family of a child with a ... (Read 57 times)

ARLKQ · **on:** Jun 27, 2018

Which information is appropriate to include in the care plan for a family of a child with a tracheostomy?

a. Suction of the tracheostomy every 2 to 4 hours or as needed
b. Application of powder around the stoma to decrease irritation
c. Suction catheter insertion limited to less than 30 seconds
d. Hygiene that includes showers, not baths

Question 2

Which nursing action is the most appropriate when applying a face mask for oxygen therapy to a child?

a. The oxygen flow rate should be less than 6 liters per minute.
b. Make sure the mask fits properly.
c. Keep the child warm.
d. Remove the mask for 5 minutes every hour.

cascooper22 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
To maintain a patent airway in a child with a tracheostomy, assessing respiratory status and suctioning every 2 to 4 hours or as needed using standard precautions are important interventions to teach families. Talc powder should be avoided because of the risk of inhalation injury from breathing the powder particles. Catheter insertion for suctioning should be less than 5 seconds to prevent hypoxia. The family should be taught to avoid getting water in the tracheostomy during bath time. Showers should be discouraged.

Answer to Question 2

B
A properly fitting face mask is essential for adequate oxygen delivery. The oxygen flow rate should be greater than 6 liters per minute to prevent rebreathing of exhaled carbon dioxide. Oxygen delivery through a face mask does not affect body temperature. A face mask used for oxygen therapy is not routinely removed.