ARRT Patient Care Practice Exam

What is true regarding tracheostomy patients?

1. They can speak normally

2. Tracheostomy tubing should be visible during a chest x-ray

3. Audible rattling sounds suggest a need for suction

4. They require no special care

The correct answer is: Audible rattling sounds suggest a need for suction

Tracheostomy patients often have a need for regular suctioning due to the presence of secretions that can accumulate in the airway. Audible rattling sounds indicate that these secretions may obstruct airflow, which can lead to difficulties in breathing. Therefore, when these sounds are heard, it is an indication that the patient requires suctioning to clear the airways and ensure they breathe comfortably and effectively. In contrast, some of the other statements presented do not accurately reflect the realities of tracheostomy care. For instance, while some tracheostomy patients may be able to speak with the use of specialized speaking valves or techniques, not all can speak normally due to the alteration of airflow through the vocal cords. Similarly, while tracheostomy tubing may be seen in specific imaging scenarios, it is not always visible on a chest X-ray, as it depends on the positioning and angle of the view. Lastly, tracheostomy patients do require special care and management to prevent complications such as infection, airway obstruction, and other potential issues related to their condition and the presence of the tracheostomy.