Tracheostomy Quiz

What are the primary indications for performing a tracheostomy?

• Treatment for asthma

• Management of pneumonia

• Routine surgical procedure

• Upper airway obstruction, long-term mechanical ventilation, respiratory failure.

List three common complications associated with tracheostomy.

• Pneumonia, heart failure, stroke

• Bleeding, dehydration, hypotension

• Bleeding, tube dislodgement, tube obstruction

• Bleeding, respiratory distress, lung cancer

What is the purpose of tracheostomy care procedures?

• To maintain patent airway

• To assist with physical therapy

• To provide nutritional support

• To enhance vocal cord function

What are the signs of a potential tracheostomy tube obstruction?

• Audible wheezing or stridor and decreased oxygen saturation

• Increased heart rate

• Fever and chills

• Dry cough

What is the role of humidification in tracheostomy care?

• Humidification prevents airway dryness and thins secretions

• Humidification increases airway resistance.

• Humidification is only necessary for patients with infections.

• Humidification is used to cool the air before it enters the lungs.

Identify the emergency procedures to follow if a tracheostomy tube is accidentally dislodged.

• Perform a tracheotomy immediately

• Reinsertion of the tube

• Assess airway, call for help and administer oxygen

• Leave the patient unattended

What is the significance of monitoring oxygen saturation in tracheostomy patients?

• It ensures adequate oxygenation and timely intervention for potential hypoxia.

• It helps in assessing the patient's pain levels.

• It is used to monitor heart rate fluctuations.

• It determines the patient's ability to speak clearly.

In which of the following conditions tracheostomy is indicated

• emergency airway access in burn cases

• functional/mechanical upper airway obstruction

• airway access for prolonged mechanical ventilation

• all of the above

Identify the part of the tracheostomy tube that acts as aplastic guide with a smooth rounded tip used to guide the outer cannula during the insertion of the tube

• obturator

• inner cannula

• cuff

• syringe with air

Which technique is BEST for the nurse to use when suctioning the patient with a tracheostomy tube?

• Apply suction during insertion of the tube

• Suction for 30 seconds

• Repeat suctioning until the tube is clear

• Hyperoxygenate before and after suctioning