A client is planning to perform nasotracheal suction for a client who has COPD and an artificial airway. Which of the following actions should the nurse take?
Limit each suction pass to 25 seconds.
Perform suctioning for up to four passes.
Apply suction to the catheter when advancing it into the trachea.
Preoxygenate the client with 100% oxygen for up to 3 min.
The Correct Answer is D
A. Each suction pass should be limited to 10-15 seconds to minimize hypoxia and trauma, not 25 seconds.
B. Suctioning should generally be limited to 2-3 passes per session to reduce airway irritation and hypoxia.
C. Suction should only be applied when withdrawing the catheter, not while advancing it, to prevent mucosal damage and hypoxia.
D. Preoxygenating the client with 100% oxygen for 30 seconds to 3 minutes before suctioning helps prevent hypoxemia during the procedure, especially important in clients with COPD and artificial airways.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Each suction pass should be limited to 10-15 seconds to minimize hypoxia and trauma, not 25 seconds.
B. Suctioning should generally be limited to 2-3 passes per session to reduce airway irritation and hypoxia.
C. Suction should only be applied when withdrawing the catheter, not while advancing it, to prevent mucosal damage and hypoxia.
D. Preoxygenating the client with 100% oxygen for 30 seconds to 3 minutes before suctioning helps prevent hypoxemia during the procedure, especially important in clients with COPD and artificial airways.
Correct Answer is C
Explanation
A. Infection risk is more related to catheter insertion and maintenance, not balloon inflation time.
B. Inflating the balloon does not affect oxygenation directly.
C. Prolonged inflation of the pulmonary artery catheter balloon can obstruct blood flow and lead to pulmonary artery rupture or infarction. Therefore, it should be inflated only briefly to obtain an accurate wedge pressure reading, then deflated immediately.
D. Cardiac stroke volume index is calculated using other hemodynamic parameters, not wedge pressure specifically.
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