A nurse is assessing equipment needs in order to perform tracheostomy suctioning on a client. Which of the following pieces of equipment should the nurse gather for the procedure?

Yankauer catheter

Sterile water

Nasal cannula

Pulse oximeter

Answer and Explanation

The Correct Answer is B

Rationale:

A. Yankauer catheter: A Yankauer catheter is a rigid suction device designed for clearing oral secretions, primarily in the mouth and pharynx. It is not suitable for tracheostomy suctioning because it cannot safely reach into the trachea and may cause trauma if used intratracheally. Tracheostomy suctioning requires a flexible, sterile suction catheter.

B. Sterile water: Sterile water or sterile saline is used to flush the suction catheter before and after tracheostomy suctioning. It helps maintain catheter patency and clears secretions, reducing the risk of obstruction during the procedure. Using sterile solutions also prevents introducing pathogens into the airway, which is critical for infection prevention.

C. Nasal cannula: A nasal cannula delivers supplemental oxygen but is not used for the suctioning procedure itself. While oxygen may be administered before or after suctioning to prevent hypoxia, it is not considered essential equipment for performing the suctioning procedure.

D. Pulse oximeter: A pulse oximeter is used to monitor oxygen saturation and assess the client’s response to suctioning. Although important for patient safety, it is not a piece of equipment required to perform the suctioning procedure; rather, it serves as a monitoring device to guide intervention.

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Correct Answer is C

Explanation

Rationale:

A. Albumin level 5.3 g/dL (3.5 to 5 g/dL): An albumin level of 5.3 g/dL is within the normal range. Adequate albumin levels are necessary for wound healing, and this level suggests that the client has sufficient protein to support the healing process.

B. BMI of 23: A BMI of 23 is within the normal weight range, which typically supports adequate healing. A normal BMI indicates that the client is not at increased risk for delayed wound healing due to malnutrition or obesity.

C. HbA1c 8.4% (less than 7.9%): An HbA1c of 8.4% indicates poor blood glucose control. Elevated blood glucose levels can impair wound healing by affecting immune function and increasing the risk of infection.

D. Braden scale score of 19: A Braden scale score of 19 suggests that the client is at a low risk for developing pressure ulcers. Pressure ulcers can delay wound healing, but this score indicates that the client has a relatively low risk.

A. "Remove the needle from the syringe before you place it in the trash." B. "Secure the cap tightly over the needle before you discard it" C. "Place your storage container in a recycle bin when it is full." D. "You can discard needles in an empty bleach bottle with a lid."

Correct Answer is D

Explanation

Rationale:

A. "Remove the needle from the syringe before you place it in the trash." Needles should not be removed from syringes before disposal. This can increase the risk of needle-stick injuries. The entire syringe and needle should be disposed of intact in a proper sharps container.

B. "Secure the cap tightly over the needle before you discard it" Securing the cap over the needle increases the risk of needle-stick injuries. The needle should be placed directly in a sharps container without recapping.

C. "Place your storage container in a recycle bin when it is full." Sharps containers should never be placed in a recycle bin due to the risk of injury. Once full, the sharps container should be disposed of in a designated waste disposal service.

D. "You can discard needles in an empty bleach bottle with a lid.” The nurse should instruct the client to dispose of used needles in a rigid, puncture-proof container, such as an empty bleach bottle with a secure lid, until a proper sharps container is available. This helps prevent injury to others.

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A nurse is assessing equipment needs in order to perform tracheostomy suctioning on a client. Which of the following pieces of equipment should the nurse gather for the procedure?

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