A nurse is nasopharyngeal suctioning an adult patient to remove thick secretions. The nurse will:

use a 14-Fr catheter

use suction pressure between 120 and 160 mm Hg

use an 8-Fr catheter

use the catheter to suction the mouth and nasopharynx

Answer and Explanation

The Correct Answer is A

A. Use a 14-Fr catheter: This is the appropriate size for suctioning an adult to effectively remove thick secretions.
B. Use suction pressure between 120 and 160 mm Hg: This pressure is too high and may cause mucosal damage; 100 to 120 mm Hg is recommended for adults.
C. Use an 8-Fr catheter: This size is too small for effectively suctioning thick secretions in adults.
D. Use the catheter to suction the mouth and nasopharynx: Suctioning the mouth first contaminates the catheter, increasing the risk of infection in the nasopharynx.

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Correct Answer is B

Explanation

A) Sternum. Percussion over the sternum is ineffective and may cause discomfort.
B) Thorax. Percussion on the thorax helps loosen mucus in the underlying lung fields.
C) Midaxillary line on the rib cage. This area is not typically targeted for percussion.
D) Spine between the scapulae. Percussion on the spine is not advisable due to the potential for discomfort and ineffectiveness. The area between the scapulae is also less effective for loosening mucus compared to the thorax.

A. A nonrebreather mask should fit snugly over a client's face. B. The reservoir bag on a nonrebreather mask should collapse with exhalation. C. A nonrebreather mask dries a client's mucous membranes. D. Use a non rebreather mask to deliver low-flow oxygen.

Correct Answer is A

Explanation

A) A nonrebreather mask should fit snugly over a client's face. A proper fit ensures effective oxygen delivery and prevents room air from entering the mask.
B) The reservoir bag on a nonrebreather mask should collapse with exhalation. The reservoir bag should not completely collapse. If it does, the oxygen flow may be inadequate.
C) A nonrebreather mask dries a client's mucous membranes. While high-flow oxygen delivery systems can dry mucous membranes, this is not specific to non rebreather masks.
D) Use a non rebreather mask to deliver low-flow oxygen. Non rebreather masks are designed to deliver high concentrations of oxygen (typically 60% to 100%).

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A nurse is nasopharyngeal suctioning an adult patient to remove thick secretions. The nurse will:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse loosens mucus plugs by using percussion on a patient over the area of the:

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about a nonrebreather mask. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

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