1 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. Nursing Management: Upper Respiratory Problems Chapter 27

2 Mosby 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.

3 Mosby 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.”