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) Toe. Thickened toenails and edema make this site unreliable for accurate readings.
B) Skin fold. Skin folds are not recommended for pulse oximetry measurements due to poor contact and inconsistent readings.
C) Earlobe. The earlobe is a preferred site in cases of peripheral edema or thickened nails because it has good perfusion and provides reliable readings.
D) Finger. Edema in the hands compromises the accuracy of finger pulse oximetry measurements.
Correct Answer is D
Explanation
A. Loop the tubing of the chest tube on the client's bed: Looping can create kinks or blockages, impeding drainage and increasing the risk of complications.
B. Place the chest tube drainage system above the level of the client's heart: This would prevent gravity drainage, leading to fluid accumulation in the pleural space.
C. Strip the client's chest tube every 2 hrs: Stripping can create high negative pressure, damaging lung tissue.
D. Tape the connections on the client's chest tube: Securing all connections with tape helps maintain a closed system and prevents air leaks.
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