A nurse is performing sterile suctioning on a patient with an artificial airway. What is the purpose of sterile suctioning?

To administer medications.

To promote comfort.

To assess lung sounds.

To monitor vital signs.

Answer and Explanation

The Correct Answer is C

To assess lung sounds.

Choice A rationale:

Sterile suctioning is not performed to administer medications. Its primary purpose is to remove secretions and maintain a patent airway.

Choice B rationale:

Sterile suctioning is not done solely for promoting comfort. Its main goal is to clear the airway and prevent respiratory complications.

Choice C rationale:

The purpose of sterile suctioning is to assess lung sounds by removing excess secretions and mucus that may obstruct the airway. This helps in evaluating the patient's respiratory status and identifying any abnormal lung sounds.

Choice D rationale:

Sterile suctioning is not performed to monitor vital signs. Although vital signs may be monitored during the procedure, it is not the primary purpose of suctioning.

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Correct Answer is A

Explanation

Choice A rationale:

The most crucial measure to prevent cross-contamination during sterile suctioning is the use of personal protective equipment (PPE). PPE, including gloves, gown, mask, and eye protection, creates a barrier between the healthcare provider and the patient's respiratory secretions, reducing the risk of infection transmission.

Choice B rationale:

Proper disposal of waste materials is important for infection control, but it is not the most critical measure to prevent cross-contamination during sterile suctioning. While proper waste disposal is necessary to reduce the spread of infections, using PPE is more directly related to preventing cross-contamination during the procedure.

Choice C rationale:

Environmental cleaning of the suction device is essential for infection control, but it is not the most important measure to prevent cross-contamination during sterile suctioning. The immediate and direct protection provided by PPE is more effective in reducing the risk of transmission during the procedure.

Choice D rationale:

Performing hand hygiene before and after the procedure is vital for infection control, but it is not the most crucial measure to prevent cross-contamination during sterile suctioning. While hand hygiene is essential for reducing the spread of infections, using PPE provides an additional layer of protection during the procedure.

A. Rotate the catheter between the thumb and forefinger during suctioning. B. Limit each suction pass to no more than 10 seconds. C. Rinse the catheter and tubing with saline after each suction pass. D. Apply continuous suction while inserting the catheter. E. Provide encouragement and support to the client throughout the procedure.

Correct Answer is ["B","C","E"]

Explanation

Choice A rationale:

The nurse should not rotate the catheter between the thumb and forefinger during suctioning. This action could cause trauma to the airway.

Choice B rationale:

Limiting each suction pass to no more than 10 seconds is an essential practice during sterile suctioning. Prolonged suctioning can lead to hypoxia and potential complications.

Choice C rationale:

Rinsing the catheter and tubing with saline after each suction pass helps maintain patency and prevent the accumulation of secretions, ensuring effective suctioning during the procedure.

Choice D rationale:

Applying continuous suction while inserting the catheter is not recommended during sterile suctioning. Intermittent suction is preferred for safety and effectiveness.

Choice E rationale:

Providing encouragement and support to the client throughout the procedure is crucial for their comfort and cooperation. Suctioning can be uncomfortable, and the client may need reassurance during the process.

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A nurse is performing sterile suctioning on a patient with an artificial airway. What is the purpose of sterile suctioning?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

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

Correct Answer is ["B","C","E"]

Explanation

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

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