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

"I have a history of epiglottitis.".

"I sometimes get laryngeal edema.".

"I have difficulty clearing my secretions.".

"I use an artificial airway at night.".

Answer and Explanation

The Correct Answer is A

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.

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Free Nursing Study Resources

Correct Answer is ["A","B","C","D"]

Explanation

Choice A:

Plastic,.

Choice B:

Metal,.

Choice C:

Silicone, and Choice D:

Rubber.

Choice A rationale:

Plastic suctioning catheters are commonly used for sterile suctioning as they are disposable and come in various sizes for different patient needs.

Choice B rationale:

Metal suctioning catheters are also used for sterile suctioning and are often reusable, making them cost-effective for healthcare facilities.

Choice C rationale:

Silicone suctioning catheters are commonly used in sensitive situations or patients with latex allergies, as silicone is a non-allergenic material.

Choice D rationale:

Rubber suctioning catheters were commonly used in the past, but they are less common now due to the availability of more suitable materials like plastic and silicone.

Choice E rationale:

Glass suctioning catheters are not used for sterile suctioning due to the risk of breakage, which can lead to serious injuries and complications.

A. Glass. B. Metal. C. Reusable silicone. D. Disposable plastic.

Correct Answer is D

Explanation

Choice D rationale:

When suctioning patients with an artificial airway, using disposable plastic catheters is preferred to reduce the risk of infection. Disposable catheters are single-use and discarded after each procedure, minimizing the potential for contamination and cross-infection between patients.

Choice A rationale:

Glass suctioning catheters are not preferred because they cannot be effectively sterilized for reuse. Reusable materials carry a higher risk of infection transmission and should be avoided when possible.

Choice B rationale:

Metal suctioning catheters are also not the preferred choice for reducing the risk of infection. Like glass catheters, they can be difficult to clean and sterilize adequately for safe reuse. Using disposable materials, like plastic catheters, is a safer option.

Choice C rationale:

While reusable silicone catheters may be more flexible and gentler on the airway, they are not the preferred choice for infection control. Like other reusable materials, they carry a higher risk of contamination and are not as easily disposed of as disposable plastic catheters.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(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.

Correct Answer is ["A","B","C","D"]

Explanation

(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?

Correct Answer is D

Explanation

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

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?

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

(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.

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?

A client is undergoing sterile suctioning. Which interventions should the nurse implement during the suctioning procedure? Select all that apply.

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