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. 25 and 50 mm Hg: This pressure is insufficient to effectively clear oral secretions.
B. 80 and 120 mm Hg: Recommended for safe and effective oral suctioning to prevent mucosal trauma while adequately clearing secretions.
C. 120 and 180 mm Hg: Excessive pressure can cause mucosal damage and trauma.
D. 50 and 75 mm Hg: This pressure is too low to be effective for adult oral suctioning.

A. clamp the chest tube and place the patient in high Fowler's position B. immediately turn the patient to the side of the insertion site C. document findings D. check for air leaks in drainage system

Correct Answer is D

Explanation

A. Clamp the chest tube and place the patient in high Fowler’s position: Clamping the tube may cause tension pneumothorax and should be done only with a specific prescription.
B. Immediately turn the patient to the side of the insertion site: This action does not address the source of constant bubbling.
C. Document findings: Bubbling in the suction chamber can be normal, but documenting without further assessment may overlook potential system issues.
D. Check for air leaks in the drainage system: Constant bubbling may indicate an air leak, which requires immediate assessment and correction.

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

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Naxlex Comprehensive Predictor Exams

A nurse performing oral suctioning on an adult patient should set the wall suction machine so that the suction pressure is between:

Correct Answer is B

Explanation

A nurse caring for a patient with a water seal type chest drainage that is on low suction assesses that there is constant bubbling in the suction container. The nurse should:

Correct Answer is D

Explanation

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