A nurse performing oral suctioning on an adult patient should set the wall suction machine so that the suction pressure is between:
25 and 50 mm Hg
80 and 120 mm Hg
120 and 180 mm Hg
50 and 75 mm Hg
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Dysphagia: Difficulty swallowing is not directly associated with hypoxia.
B. Nausea: Nausea is not a typical manifestation of hypoxia.
C. Agitation: Hypoxia causes restlessness and agitation as early signs due to decreased oxygen delivery to the brain.
D. Warm, dry skin: Hypoxia typically leads to cool, clammy skin rather than warmth.
Correct Answer is C
Explanation
A. Examining the character of the sputum: While monitoring secretions is important, it does not necessarily indicate the need for immediate suctioning.
B. Monitoring the rate of respirations: An increased respiratory rate can indicate distress but is not a definitive cue for suctioning.
C. Auscultating the breath sounds: This helps identify the presence of secretions or airway obstruction and is a primary indicator for suctioning.
D. Determining the last time the patient was suctioned: Suctioning should be based on clinical need rather than a routine schedule.
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