A nurse is about to perform sterile suctioning and asks the patient if they are ready. The patient responds, "I am feeling very anxious about this.” What would be the appropriate response from the nurse?

"Don't worry; it won't take long.”

"We can postpone the procedure if you prefer.”

"I understand. Let's proceed, and I'll explain each step.”

"Suctioning is routine; you'll be fine once it's done.”

Answer and Explanation

The Correct Answer is C

Choice C rationale:

The nurse should acknowledge the patient's anxiety and respond empathetically. Assuring the patient that the nurse will explain each step during the procedure can help alleviate anxiety. This approach promotes trust and helps the patient feel more in control, which is important for patient cooperation during the suctioning procedure.

Choice A rationale:

Telling the patient not to worry and that it won't take long may come across as dismissive and not address the patient's concerns adequately.

Choice B rationale:

Offering to postpone the procedure is an option, but the nurse should first attempt to address the patient's anxiety and provide reassurance. If the anxiety persists despite the explanation, postponing the procedure can be considered.

Choice D rationale:

Dismissing the patient's anxiety by stating that suctioning is routine may not effectively address the patient's feelings and may not be comforting.

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Correct Answer is A

Explanation

Choice A rationale:

Epiglottitis is an inflammation of the epiglottis, which is a crucial structure in protecting the airway during swallowing. Suctioning in patients with a history of epiglottitis can be dangerous because it can cause further irritation and swelling of the epiglottis, potentially leading to airway obstruction and respiratory distress. Therefore, sterile suctioning is contraindicated in patients with a history of epiglottitis.

Choice B rationale:

Laryngeal edema refers to swelling of the larynx, which can also compromise the airway. While it is essential to monitor and manage laryngeal edema carefully, it is not an absolute contraindication for sterile suctioning. In some cases, suctioning may be necessary to maintain a patent airway, but it should be performed with caution and by experienced personnel.

Choice C rationale:

Difficulty clearing secretions is a common indication for sterile suctioning. Patients who have difficulty clearing their secretions may need suctioning to prevent the accumulation of mucus and maintain a clear airway. Therefore, this statement does not indicate a contraindication for the procedure.

Choice D rationale:

Using an artificial airway at night, such as a tracheostomy tube, indicates that the patient may require suctioning to maintain airway patency. While having an artificial airway increases the risk of infection and other complications, it is not a contraindication for sterile suctioning if clinically indicated.

A. Closed catheter. B. Metal catheter. C. Large French scale catheter. D. Catheter with a single opening.

Correct Answer is A

Explanation

Choice A rationale:

A closed catheter is the most appropriate choice for suctioning a patient with thick secretions. Closed catheters have a two-way valve that allows for continuous suction while minimizing the risk of introducing air into the patient's airway. This design prevents the loss of oxygen and maintains a closed system, reducing the risk of complications such as hypoxia and infection.

Choice B rationale:

Metal catheters are not suitable for suctioning thick secretions. They can be rigid and may cause trauma to the airway, leading to bleeding and discomfort for the patient.

Choice C rationale:

Large French scale catheters are not specifically designed for thick secretions and may not effectively aspirate them. These catheters are typically used for drainage of body cavities or larger organs.

Choice D rationale:

A catheter with a single opening is not ideal for suctioning thick secretions. It may not provide sufficient suctioning power and could lead to ineffective removal of secretions from the patient's airway.

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A nurse is about to perform sterile suctioning and asks the patient if they are ready. The patient responds, "I am feeling very anxious about this.” What would be the appropriate response from the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a group of patients about sterile suctioning. Which patient statement indicates a contraindication for this procedure?

Correct Answer is A

Explanation

(Online ATI/HESI question): A nurse is preparing to suction a patient with thick secretions. Which type of suctioning catheter should the nurse choose to effectively aspirate the secretions?

Correct Answer is A

Explanation

A client is undergoing sterile suctioning. Which interventions should the nurse implement to prevent complications? Select all that apply.

A nurse is teaching infection control principles for sterile suctioning. Which measure is the most important to prevent cross-contamination during the procedure?

(Select all that apply): A nurse is preparing to perform sterile suctioning on a patient. Which of the following are types of suctioning catheters commonly used for this procedure? Select all that apply.

(Online ATI/HESI question): A nurse is suctioning a patient with an artificial airway. Which of the following materials is preferred for suctioning catheters to reduce the risk of infection?

A nurse is performing tracheostomy care for a patient with a tracheostomy tube (TT). Which action should the nurse include in the procedure?

A nurse is performing sterile suctioning and observes the patient's oxygen saturation dropping below the normal range. Which statement by the nurse is appropriate?

(Select all that apply): A client requires sterile suctioning through a tracheostomy tube (TT). What steps should the nurse follow during the suctioning procedure? Select all that apply.

(Select all that apply): A nurse is preparing to perform nasopharyngeal suctioning for a patient with a nasopharyngeal tube (NPT). What actions should the nurse take during the procedure? Select all that apply.