1Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc.

Nursing Management:Upper Respiratory Problems

Chapter 27

2Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc.

1. Twenty-four hours after a patient had a tracheotomy, the tube is accidentally dislodged after a coughing episode. Which of the following actions should the nurse take first?

1. Call the health care provider.2. Place the obturator in the tracheostomy tube.3. Position the patient in a semi-Fowler’s position.4. Grasp the retention sutures to spread the tracheostomy

opening.

3Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc.

2. The nurse is providing discharge teaching to a patient who had a laryngectomy. The nurse determines that the teaching has been effective if the patient states,

1. “I will need to cover the stoma when shaving.” 2. “I will not be able to take a shower for 2 weeks.”3. “I should limit my fluid intake to prevent choking spells.” 4. “My sense of taste and smell will return in 7 to 10 days.”