The nurse is caring for a mechanically ventilated patient. The physicians are considering performing a tracheostomy because the patient is having difficulty weaning from mechanical ventilation

Related to tracheostomy, the nurse understands which of the following? a. Patient outcomes are better if the tracheostomy is done within a week of intubation.
b. Percutaneous tracheostomy can be done safely at the bedside by the respiratory therapist.
c. Procedures performed in the operating room are associated with fewer complications.
d. The greatest risk after a percutaneous tracheostomy is accidental decannulation.


D
Optimal timing of tracheostomy is not yet known. Percutaneous procedures done at the bedside are not associated with any higher risks than those done in the operating room. Trained physicians safely perform percutaneous tracheostomies at the bedside. The greatest risk for percutaneous tracheostomy is accidental decannulation because the trachea is not surgically attached.

Nursing

You might also like to view...

Which of the following best describes the first government step in trying to stop constantly rising costs?

a. Insurance companies were told to cease adding new members to their plan. b. Payment reimbursement was based on diagnosis and client characteristics rather than on treatment given. c. Physicians were limited to a maximum amount that would be paid for any particular service. d. Reimbursement was based on prospective payment; that is, in advance of admittance for care.

Nursing

The examiner should be concerned about neurologic competence if a social smile cannot be elicited by the time a child is _________ old

Fill in the blank(s) with correct word

Nursing

Some physicians permit clients receiving CPN to also consume a clear liquid or light diet in order to:

1. Keep the gut functioning 2. Achieve an optimal energy intake 3. Counteract the insulin that is contained in the CPN 4. Buffer the effects of the acidic CPN solution

Nursing

A patient experiences double approach-avoidance conflicts associated with the need to replace maladaptive behaviors with more adaptive behaviors. This tendency is exhibited when the patient:

a. wishes to both pursue and avoid the same goal. b. is required to choose between two undesirable goals. c. seeks to pursue two equally desirable but incompatible goals. d. sees both desirable and undesirable aspects of two alternatives.

Nursing