Study Guide

Care Management II Exam 4 Winter 2020 Cohort 8

Chapters 28, 29, 30, 31, 34, 35, 36

There are 50 questions

All questions are multiple choice

1. A patient must sign an informed consent for all scheduled operative procedures, which must be

placed in the patient’s record.

a. A client is scheduled to have a tracheostomy placed in an hour. What action by the nurse

is the priority? Ensure informed consent is on the chart.

2. A nurse notes that the patient’s face is puffy and the eyelids are swollen 3 days after having a

tracheostomy. Look up subcutaneous emphysema assessment and interventions.

a. A client has a tracheostomy that is 3 days old. Upon assessment, the nurse notes the

clients face is puffy and the eyelids are swollen. What action by the nurse takes priority?

Assess the client’s oxygen saturation.

3. What is the priority action I a patient with a tracheostomy begins coughing and choking when

eating?

a. A client has a tracheostomy tube in place. When the nurse suctions the client, food

particles are noted. What action by the nurse is best? Measure and compare cuff

pressures.

4. Review the steps for suctioning a tracheostomy. View the ATI Skills video.

a. A student is practicing suctioning a tracheostomy in the skills laboratory. What action by

the student demonstrates that more teaching is needed?

a. Applying suction while inserting the catheter

5. Re: Unlicensed Assistive Personnel (UAP) can only perform and assist general ADLs for

patients. Oxygen can be drying, so the UAP can apply water-soluble lubricant to the patient’s lips

and nares. The UAP would not adjust the oxygen flow rate or remove the tubing. Turning the

patient is not related to comfort measures for oxygen.

a. An unlicensed assistive personnel (UAP) was feeding a client with a tracheostomy. Later

that evening, the UAP reports that the client had a coughing spell during the meal. What

action by the nurse takes priority? Assess the client’s lung sounds.

b. A client is receiving oxygen at 4 liters per nasal cannula. What comfort measure may the

nurse delegate to unlicensed assistive personnel (UAP)? Apply water-soluble ointment

to nares and lip