A home health nurse is teaching a child's parents about endotracheal suctioning. Which of the following statements should the nurse include in the teaching?
Apply suction when inserting the catheter.
Allow the child to rest for 10 to 15 seconds after each suctioning attempt.
Set the suction pressure to 110 mm Hg.
Apply suction for less than 10 seconds.
The Correct Answer is D
A. Suction should not be applied during insertion to avoid trauma to the airway.
B. The rest period between suctioning attempts should be at least 30-60 seconds to allow the child to recover.
C. The appropriate suction pressure for infants and children should be set between 60-100 mm Hg.
D. Suctioning should be applied for less than 10 seconds to minimize hypoxia and trauma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A burn injury with a pain response is concerning but not immediately life-threatening compared to the other options.
B. A significant drop in blood pressure upon standing (orthostatic hypotension) can indicate dehydration, blood loss, or other serious conditions that need immediate attention.
C. An increase in pain after ambulation with an ankle fracture is expected and should be managed but is not an immediate threat to the client's overall health.
D. A postoperative temperature of 37.5° C (99.5° F) is within the expected range and not indicative of an immediate complication.
Correct Answer is B
Explanation
A. Frequent use of the call light can indicate a need for attention or reassurance but is not specifically indicative of abuse.
B. When parents consistently answer questions for the child, it can be a sign of controlling behavior or an attempt to hide the child’s responses, which can be a red flag for abuse.
C. Obesity alone does not indicate abuse and can be related to various factors.
D. Frequent visitors usually indicate a supportive network, not abuse.
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