A nurse caring for a patient with a tracheostomy should determine whether the patient needs suctioning by:

examining the character of the sputum

monitoring the rate of respirations.

auscultating the breath sounds

determining the last time the patient was suctioned

Answer and Explanation

The Correct Answer is C

A. Examining the character of the sputum: While monitoring secretions is important, it does not necessarily indicate the need for immediate suctioning.
B. Monitoring the rate of respirations: An increased respiratory rate can indicate distress but is not a definitive cue for suctioning.
C. Auscultating the breath sounds: This helps identify the presence of secretions or airway obstruction and is a primary indicator for suctioning.
D. Determining the last time the patient was suctioned: Suctioning should be based on clinical need rather than a routine schedule.

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Correct Answer is B

Explanation

A. 25 and 50 mm Hg: This pressure is insufficient to effectively clear oral secretions.
B. 80 and 120 mm Hg: Recommended for safe and effective oral suctioning to prevent mucosal trauma while adequately clearing secretions.
C. 120 and 180 mm Hg: Excessive pressure can cause mucosal damage and trauma.
D. 50 and 75 mm Hg: This pressure is too low to be effective for adult oral suctioning.

A. incomplete expirations. B. decreased oxygen saturation C. impaired cilia D. increased elasticity in thorax and respiratory tissues

Correct Answer is ["A"]

Explanation

A. Incomplete expirations: Age-related decreased lung elasticity impairs full expiration, trapping air in the lungs.
B. Decreased oxygen saturation: Age-related changes in lung tissue reduce gas exchange efficiency.
C. Impaired cilia: Decreased ciliary function reduces the ability to clear mucus and pathogens from the airway.
D. Increased elasticity in thorax and respiratory tissues: Elasticity decreases with aging, reducing lung compliance.

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A nurse caring for a patient with a tracheostomy should determine whether the patient needs suctioning by:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse performing oral suctioning on an adult patient should set the wall suction machine so that the suction pressure is between:

Correct Answer is B

Explanation

The nurse is aware that changes occur in the respiratory system after the age of 70 that put the older adult more at risk for respiratory problems. These changes include: (Select all that apply.)

Correct Answer is ["A"]

Explanation

The nurse clarifies that the condition in which there is a decreased amount of oxygen in the blood is:

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Older adults are more prone to respiratory problems because aging causes which change?

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