A nurse is performing tracheostomy care for a patient and plans to remove copious secretions. What actions should the nurse take?
Lubricate the suction catheter tip with sterile saline
Hyperventilate the patient on 100% oxygen prior to suctioning
Perform chest physiotherapy prior to suctioning
Suction two to three times with a 60-second pause between passes
The Correct Answer is D
Choice A rationale
Lubricating the suction catheter tip with sterile saline is not recommended because it can introduce bacteria into the tracheostomy tube and cause infection.
Choice B rationale
Hyperventilating the patient on 100% oxygen prior to suctioning is not necessary and can cause complications such as oxygen toxicity.
Choice C rationale
Performing chest physiotherapy prior to suctioning is not typically done during tracheostomy care. Chest physiotherapy is a separate procedure that involves physical techniques to remove mucus from the respiratory tract.
Choice D rationale
Suctioning two to three times with a 60-second pause between passes is the correct action. This helps to remove secretions effectively without causing hypoxia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Constipation is a potential side effect of aripiprazole, but it is not typically a serious concern that would require notifying the provider.
Choice B rationale
Weight gain of 5 lb in 1 month could be a side effect of aripiprazole, but it is not typically a serious concern that would require notifying the provider.
Choice C rationale
Insomnia is a potential side effect of aripiprazole, but it is not typically a serious concern that would require notifying the provider.
Choice D rationale
Muscle stiffness could be a sign of a serious side effect of aripiprazole known as extrapyramidal symptoms. This could include conditions such as dystonia, akathisia, and Parkinsonism. If a patient experiences muscle stiffness while taking aripiprazole, the healthcare provider should be notified.
Correct Answer is ["A","C","D","E"]
Explanation
Choice A rationale
Toddlers have high energy needs, so they need a diet that provides enough calories. Parents should be educated on providing a balanced diet that includes a variety of foods to meet their toddler’s nutritional needs.
Choice B rationale
Establishing trust is more relevant to infancy, when babies learn to trust their caregivers to meet their needs. While it’s still important as children grow, it’s not a key point of health promotion education for parents of toddlers.
Choice C rationale
Toddlers often express their independence and frustration through tantrums. Parents should be educated on how to handle tantrums in a calm, consistent manner, and how to teach their child appropriate ways to express their feelings.
Choice D rationale
Cooperative play is a part of social development in toddlers. Parents should be educated on how to encourage this type of play, such as arranging playdates with children of a similar age.
Choice E rationale
Dental care is important for toddlers. Parents should be educated on how to care for their toddler’s teeth and gums, including brushing their teeth twice a day and scheduling regular dental check-ups.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.