Module 14: Delivery and Collection Devices

The most common method of oxygen administration consists of small, plastic tubes that are inserted into the nostrils and is termed:

Nasal cannula

Which of the following is more commonly used for oxygen administration to pediatric patients?

- Simple mask

- Oxygen tent

- Rebreathing mask

- Isolette

Oxygen tent

The carina of the trachea is the:

- Prominent ridge on the trachea at the bifurcation into right and left primary bronchi

- Most common oxygen delivery method

- Tube passed through the mouth into the trachea to access the lungs to provide manual or mechanical ventilation

- Surgical opening into the trachea used to treat obstructive respiratory diseases

Prominent ridge on the trachea at the bifurcation into right and left primary bronchi

An inpatient on oxygen must be transported to the imaging department for an ultrasound. Which of the following is true regarding the transportation process?

The patient's oxygen administration should be transferred to a mobile tank at the same rate as the room flow meter during transport.

All of the following are uses for suction except to:

- Remove vomitus to clear the airway of very ill patients

- Clear secretions on post-op patients

- Treat a choking victim

- Clear a trauma patient's airway of blood

Treat a choking victim

Suction is used to clear blood, vomitus, and secretion on seriously ill, injured patients or for patients after surgery. Choking victims are rescued using the abdominal thrust maneuver.

Gloves should be worn for protection during suctioning

True

Suctioning may be discontinued for transport to the imaging department for a procedure.

True

One of the reasons for an NG tube is for:

- Oxygen administration

- Decompression

- Treatment of respiratory diseases

- Treatment of pneumothorax

Decompression

An NG tube may be used for decompression of the stomach or small intestine.

Which of the following are good patient care practices for a patient with an NG tube?

(1) Avoid tugging on the tube during transfer and positioning.

(2) Properly clamp the tube for transport.

(3) Avoid disconnecting tubing from receptacle during mobile imaging.

1, 2, and 3

All of the following tubes are used in the stomach except:

- Dobbhoff

- Levin

- Miller-Abbott

- Salem-Sump

Miller-Abbott

Miller-Abbott, which is used for decompression of the small intestine

Which term denotes air that escapes or is trapped in the pleural space?

Pneumothorax

All of the following are reasons for a chest tube except:

- Empyema

- Obstruction

- Pleural effusion

- Pneumothorax

Obstruction

Obstruction may be treated with an NG tube but not a chest tube.

A chest tube is placed in the inferior, posterior chest wall to treat:

Hemothorax

Hemothorax is blood pooled in the pleural space, and fluids are drained by placing the chest tube in the dependent portion of the chest, which would be the inferior and posterior chest wall.

Which of the following terms is the proper medical term for a collapsed lung?

Atelectasis

Which type of CV line is used to measure cardiac pressures?

- Hickman

- Swan-Ganz

- PICC

- Salem-Sump

Swan-Ganz

Which of the following is a complication associated with insertion of CV lines?

- Pneumothorax

- Extravasation

- Infiltration

- Delayed healing

Pneumothorax

Imaging is often required after a CV line insertion to check for:

(1) Infection

(2) Complications

(3) Placement

2 and 3 only

The most common vein used for CV line insertion is the:

- Subclavian

- Basilic

- Femoral

- Antecubital

Subclavian

A Hickman central line is commonly used for all of these purposes, except:

- Cardiac pressure measurements

- Chemotherapy administration

- Blood draws

- Parenteral feeding

Cardiac pressure measurements

A Hickman central line is commonly used for parenteral feeding, medication and chemotherapy administration, and blood draws.

A surgical opening of the large intestine that is connected to an opening in the skin is termed a:

- Nephrostomy

- Colonoscopy

- Tracheostomy

- Colostomy

Colostomy

Which of the following is inserted during surgery to provide wound drainage?

(1) Miller-Abbot tube

(2) Jackson-Pratt

(3) Penrose

2 and 3 only

Jackson-Pratt and Penrose are two types of tissue drains used postoperatively. The Miller-Abbott is a type of nasoenteric tube.

Urinary catheter insertion is a sterile procedure.

True

An abnormal passage or communication, usually between two internal organs, or leading from an organ to the surface of the body is termed a(n):

Fistula

Which of the following is a high-flow method of oxygen administration that does not allow the patient to breathe in their exhaled air?

- Nasal cannula

- Rebreathing mask

- Nonrebreathing mask

- Ambu bag

Nonrebreathing mask

A surgical opening into the trachea used to treat obstructive respiratory diseases and provide a mechanism for breathing is a(n):

- Tracheostomy

- Endotracheal tube

- Carina

- Nasal cannula

Tracheostomy

While performing a mobile chest procedure, you notice the patient's oxygen tubing is lying across the patient's right lung. Which of the following is the best action?

- Move the oxygen tubing out of the lung field to prevent image artifacts.

- Leave the oxygen tubing alone since moving it might interrupt oxygen flow.

- Take the oxygen tubing off of the patient and reapply after the imaging procedure is complete.

- Leave the oxygen tubing alone because it will not show up in the x-ray image.

Move the oxygen tubing out of the lung field to prevent image artifacts.

Which of the following are uses for suction?

(1) As treatment for a bleeding ulcer

(2) To remove blood from a trauma patient's airway

(3) To clear an ill patient's airway of mucus or vomitus

1, 2, and 3

All of the following are true regarding suction administration except:

- Sterile gloves should be donned prior to administering suction.

- The catheter tip should be placed on top of the middle portion of the tongue.

- The catheter tip should never be forcibly inserted.

- The patient should be rolled onto their side to administer suction.

Sterile gloves should be donned prior to administering suction.

A patient on continuous suction is transported to the imaging department with the tube clamped and secured. Which of the following is the next step to provide the best patient care?

- Unclamp the tube and connect it to the receptacle for the duration of the imaging procedure.

- Clean or replace receptacle and replace the tubing.

- Remove the NG tube before proceeding with the imaging examination.

- Proceed with the procedure as fast as possible.

Unclamp the tube and connect it to the receptacle for the duration of the imaging procedure.

A patient has an NG tube that has been clamped and pinned to his gown. While positioning for a radiograph, you notice the NG tube is in the collimated field. Which of the following is the best option?

- Call a nurse to remove the NG tube so you can continue with the procedure.

- Gently unpin the tube and secure it out of the collimated field to avoid causing an artifact.

- Leave the tube in place to avoid causing the patient discomfort.

- The tube is left in place because it will not cause an artifact in the image.

Gently unpin the tube and secure it out of the collimated field to avoid causing an artifact.

Which of the following tubes is used for temporary feeding?

- Levin

- Salem-Sump

- Miller-Abbott

- Dobbhoff

Dobbhoff

Which term denotes blood collected in the pleural space?

Hemothorax

Which of the following might be treated with a chest tube?

(1) Empyema

(2) Upper respiratory obstructive disease

(3) Atelectasis

1 and 3 only

Upper respiratory obstructive disease may be treated with a tracheostomy, but not a chest tube. An empyema or atelectasis might need a chest tube to be effectively treated.

Where would a chest tube be placed to treat a pneumothorax?

- In the superior, anterior chest wall

- In the inferior, posterior chest wall

- Below the 9th rib, posterior to the midcoronal plane

- Above the 9th rib, anterior to the midcoronal plane

In the superior, anterior chest wall

since air rises

Which of the following terms is the proper medical term for a chest tube insertion?

Thoracostomy

A sterile procedure in which a tube is placed directly into the renal pelvis to drain urine from the kidney is called a:

- Nephrostomy

- Colostomy

- Colonoscopy

- Tracheostomy

Nephrostomy

Which type of tube used for tissue drainage is secured to the body with a sterile pin?

- Davol

- Miller-Abbot

- Penrose

- Jackson-Pratt

Penrose

The Penrose is a soft rubber tube that is secured by a sterile pin and is used for wound drainage.

Which type of CV line is used for dialysis?

- PICC

- Raaf

- Swan-Ganz

- Hickman

Raaf

Which of the following is a rare complication associated with insertion of CV lines?

- Extravasation

- Pneumothorax

- Cardiac tamponade

- Acute myocardial infarction

Cardiac tamponade

All of the following can be verified through imaging after a CV line insertion except:

- Pneumothorax

- Infection at insertion site

- Proper line placement

- Hemothorax

Infection at insertion site

Which of the following veins may be used for CV line insertion?

(1) Femoral

(2) Subclavian

(3) Jugular

1, 2, and 3

Which of the following is a type of CV line used for parenteral feeding?

- Raaf

- Hickman

- Swan-Ganz

- PICC

Hickman

Which of the following is a disadvantage of oxygen administration via a simple mask?

- Oxygen concentration is too high, as compared to other methods.

- Masks are much more expensive.

- Oxygen delivery is not as reliable.

- Masks interfere with talking and eating and impede patient movement.

Masks interfere with talking and eating and impede patient movement.