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?
Pulse oximeter
Sterile water
Nasal cannula
Yankauer catheter
The Correct Answer is B
Rationale:
A. Pulse oximeter: A pulse oximeter is useful for monitoring oxygen saturation during suctioning, but it is not required for the procedure itself. The primary equipment needed is related to suctioning and maintaining airway patency.
B. Sterile water: Sterile water is essential for tracheostomy suctioning to keep the suction catheter sterile and to irrigate the catheter as needed. It helps to prevent infection and maintain hygiene during the procedure.
C. Nasal cannula: A nasal cannula is used for oxygen delivery, but it is not required for the suctioning procedure itself. Suctioning may be performed independently of oxygen therapy, although oxygen may be administered after suctioning if needed.
D. Yankauer catheter: A Yankauer catheter is used for oral suctioning, not for tracheostomy suctioning. For tracheostomy suctioning, a specific tracheal suction catheter is required to fit the airway.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
Rationale:
A. Strict I&O: Monitoring intake and output is essential due to decreased urination, flank pain, and impaired kidney function. The elevated BUN and creatinine levels suggest renal impairment, and strict I&O helps assess fluid balance.
B. Increase fluid intake: While hydration is important, increasing fluids should be done cautiously due to the client’s impaired kidney function. Given the elevated BUN and creatinine, the kidneys may not manage increased fluids without worsening fluid retention.
C. Encourage protein supplements: Protein supplements are not recommended in kidney dysfunction, as they can worsen renal strain. Elevated BUN and creatinine levels indicate kidney impairment, and protein intake may aggravate the condition.
D. Strain all urine: Straining all urine is necessary to capture any possible kidney stones, blood clots, or debris. The reddish-brown urine and positive blood in the urinalysis suggest hematuria, which may need further investigation.
Correct Answer is C
Explanation
Rationale:
A. "Make sure family members wear masks whenever they are in the same room as you."
Masks are mainly recommended for the client with tuberculosis, not family members unless they are at high risk. The focus should be on good hygiene and cough etiquette.
B. "Return to work after two consecutive sputum cultures are negative." While negative sputum cultures are important, returning to work depends on completing the full treatment regimen and clinical improvement. Full treatment is essential for transmission control.
C. "Before coughing or sneezing, cover your mouth and nose with a tissue." This is the correct advice to prevent the spread of tuberculosis. Covering the mouth and nose with a tissue when coughing or sneezing helps contain respiratory droplets and protect others.
D. "Wear a high-filtration mask at home when family members are nearby." Wearing a high-filtration mask is generally necessary for healthcare settings. At home, focus should be on cough etiquette, good ventilation, and completing prescribed treatment.
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