A nurse is caring for a patient who has a respiratory infection.
What technique should the nurse use when performing nasotracheal suctioning for the patient?

Insert the suction catheter while the patient is swallowing.

Apply intermittent suction when withdrawing the catheter.

Place the catheter in a location that is clean and dry for later use.

Hold the suction catheter with their clean, non-dominant hand.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Inserting the suction catheter while the patient is swallowing is not the recommended technique for nasotracheal suctioning. This could cause discomfort and potentially lead to aspiration.

Choice B rationale

Applying intermittent suction when withdrawing the catheter is the correct technique for nasotracheal suctioning. This helps to remove secretions effectively while minimizing trauma to the nasal and tracheal mucosa.

Choice C rationale

Placing the catheter in a location that is clean and dry for later use is not a recommended practice. After suctioning, the catheter should be properly cleaned or disposed of to prevent infection.

Choice D rationale

Holding the suction catheter with their clean, non-dominant hand is not a recommended practice. The nurse should use clean gloves and proper hand hygiene when performing nasotracheal suctioning to prevent infection.

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Correct Answer is A

Explanation

Choice A rationale

Pressing gently on the tragus of the ear after administering the medication can help the medication to reach the inner ear.

Choice B rationale

Packing a small piece of cotton deep into the patient’s ear canal is not recommended as it can cause damage to the ear.

Choice C rationale

Moving the patient’s auricle down and back towards their head is not necessary when administering otic medication.

Choice D rationale

Tilting the patient’s head backward for 5 minutes is not required when administering otic medication.

A. Assist the patient to a left side-lying position with the right knee flexed. B. Prepare the patient for a chest x-ray. C. Administer a cleansing enema. D. Perform a manual digital examination of the patient’s rectum.

Correct Answer is C

Explanation

Choice A rationale

Assisting the patient to a left side-lying position with the right knee flexed is often used for rectal examinations or administering enemas, but it does not directly address the issue of a large amount of fecal material in the colon.

Choice B rationale

Preparing the patient for a chest x-ray would not be beneficial in this situation. A chest x-ray would not provide further information about the fecal material in the colon.

Choice C rationale

Administering a cleansing enema can help to remove the fecal material from the colon. This is a common treatment for fecal impaction.

Choice D rationale

Performing a manual digital examination of the patient’s rectum can help to assess the amount of fecal material present, but it would not alleviate the patient’s abdominal pain or remove the fecal material.

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A nurse is caring for a patient who has a respiratory infection.What technique should the nurse use when performing nasotracheal suctioning for the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is administering an otic medication to an older adult patient.Which of the following actions should the nurse take to ensure the medication reaches the inner ear?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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A nurse is caring for a patient who has a respiratory infection.
What technique should the nurse use when performing nasotracheal suctioning for the patient?