174. A nurse is caring for a client who requires nasotracheal suctioning. Identify the sequence the nurse should follow to perform suctioning. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Rinse the catheter to remove secretions.
Don sterile gloves.
Apply suction while rotating the catheter.
Insert the catheter during the client's inspiration.
Turn on the suction and set the pressure.
The Correct Answer is B,E,D,C,A
1. B. Don sterile gloves.
2. E. Turn on the suction and set the pressure.
3. D. Insert the catheter during the client's inspiration.
4. C. Apply suction while rotating the catheter.
5. A. Rinse the catheter to remove secretions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. Epiglottitis can cause airway obstruction, so continuous respiratory monitoring is crucial to detect any signs of respiratory distress.
B. Incorrect. Administering pancreatic enzymes is not relevant to epiglottitis.
C. Incorrect. Frequent swallowing assessment is not the priority for epiglottitis. Airway management is.
D. Incorrect. Suctioning may be necessary, but continuous respiratory monitoring takes precedence.
Correct Answer is ["serotonin syndrome","selective serotonin reuptake inhibitors (SSRIs)"]
Explanation
The client's history of taking fluoxetine (a selective serotonin reuptake inhibitor, or SSRI) and then switching to paroxetine (another SSRI) can increase the risk of serotonin syndrome. Serotonin syndrome occurs when there is an excess of serotonin in the body, which can lead to symptoms such as agitation, confusion, rapid heart rate, high blood pressure, dilated pupils, muscle rigidity, and potentially life-threatening complications. Switching between or combining different SSRIs can elevate serotonin levels and trigger this syndrome. It is important for healthcare providers to monitor for signs of serotonin syndrome when changing or starting antidepressant medications, especially if they belong to the same class.
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