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.
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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Related Questions
Correct Answer is B
Explanation
Choice A rationale:
The nurse should indeed provide reassurance and answer any questions before performing any procedure, as this helps to alleviate the patient's anxiety and ensure they are well-informed about the procedure.
Choice B rationale:
Gathering the necessary equipment and supplies is essential before starting sterile suctioning. This ensures that the nurse has everything needed for the procedure, promoting efficiency and safety.
Choice C rationale:
Connecting the suction tubing to the suction device is an important step in the suctioning process, but it should be done after gathering all the necessary equipment and supplies.
Choice D rationale:
Preoxygenating the patient with 100% oxygen is not a step required before suctioning. Preoxygenation may be necessary before some procedures, but it is not specifically indicated for sterile suctioning.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale:
Rinsing the catheter and tubing with saline after each suction pass is not a standard practice and is not necessary for sterile suctioning.
Choice B rationale:
Inserting the catheter into the artificial airway using sterile technique is crucial to maintain the integrity of the procedure and prevent infections.
Choice C rationale:
Limiting each suction pass to no more than 10 seconds helps to prevent complications such as hypoxia and tissue damage.
Choice D rationale:
Providing oral or nasal care after suctioning helps maintain the patient's airway, promote comfort, and prevent infections.
Choice E rationale:
Applying continuous suction while withdrawing the catheter is not recommended as it can cause trauma to the airway and should be avoided during sterile suctioning.
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