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.

Answer and Explanation

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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Correct Answer is D

Explanation

A. While a clean environment is important, this action alone does not provide emotional support.
B. Rotating nursing staff frequently may disrupt the development of trust and rapport, which are important for emotional support.
C. Talking during wound care can provide some support but may increase anxiety if the client is in pain or stressed.
D. Keeping family members informed helps maintain social support and emotional connection, which are critical for the client’s psychological well-being during rehabilitation.

A. 54 percent B. 9 percent C. 36 percent D. 18 percent

Correct Answer is A

Explanation

Each leg (front + back) accounts for 18% TBSA × 2 legs = 36%.

Each arm (front + back) accounts for 9% TBSA × 2 arms = 18%.

Total burned TBSA = 36% (legs) + 18% (arms) = 54%.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is developing a plan of care for a client who is rehabilitating from major burns. Which of the following interventions should the nurse include to provide emotional support?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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