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.”
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
To assess lung sounds.
Choice A rationale:
Sterile suctioning is not performed to administer medications. Its primary purpose is to remove secretions and maintain a patent airway.
Choice B rationale:
Sterile suctioning is not done solely for promoting comfort. Its main goal is to clear the airway and prevent respiratory complications.
Choice C rationale:
The purpose of sterile suctioning is to assess lung sounds by removing excess secretions and mucus that may obstruct the airway. This helps in evaluating the patient's respiratory status and identifying any abnormal lung sounds.
Choice D rationale:
Sterile suctioning is not performed to monitor vital signs. Although vital signs may be monitored during the procedure, it is not the primary purpose of suctioning.
Correct Answer is B
Explanation
Choice A rationale:
(Incorrect) Assuring the client that the procedure is entirely safe is not entirely accurate, as suctioning can carry some risks and discomfort.
Choice B rationale:
(Correct) This response acknowledges the client's concern about the suctioning procedure while providing a rationale for its importance, which is to maintain clear airways and prevent complications like airway blockage and respiratory distress.
Choice C rationale:
(Incorrect) Stating that there are no other options to remove secretions may not be true, and it does not address the client's concern effectively.
Choice D rationale:
(Incorrect) Promising to suction quickly may not address the client's worry and might compromise the effectiveness of the procedure, as thorough suctioning is necessary.
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