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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Loop the client's tubes carefully to prevent kinking: Tubes should not be unnecessarily looped, as this may cause obstruction or tension.
B. Clamp the tube when the client is ambulating: Clamping increases the risk of tension pneumothorax and should be avoided unless prescribed for specific procedures.
C. Place the client flat to avoid leaks in the tubing: This position may compromise lung expansion; semi-Fowler’s or Fowler’s position is preferred.
D. Keep the collection device below the client’s chest level: This position uses gravity to prevent backflow of fluid or air into the pleural space.

A. sitting upright and forward with arms supported on an over the bed table B. semi-Fowler's position with a single pillow behind the head C. high Fowler's position without a pillow behind the head D. right lateral with the head of the bed elevated 45 degrees.

Correct Answer is A

Explanation

A. Sitting upright and forward with arms supported on an over-the-bed table: This tripod position allows for maximum lung expansion by reducing pressure on the diaphragm and improving airflow, especially for patients with chronic obstructive pulmonary disease (COPD).
B. Semi-Fowler's position with a single pillow behind the head: This position does not optimize lung expansion as well as the tripod position.
C. High Fowler's position without a pillow behind the head: Although better than lying flat, this position lacks arm support, which helps in leveraging accessory muscles for breathing.
D. Right lateral with the head of the bed elevated 45 degrees: This position is not beneficial for promoting effective lung expansion in patients with emphysema.

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A nurse performing oral suctioning on an adult patient should set the wall suction machine so that the suction pressure is between:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who has a newly inserted chest tube. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

The nurse assists the patient with emphysema into the most beneficial position to facilitate respiration, which is:

Correct Answer is A

Explanation

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