A patient requires suctioning via the nasotracheal route. In order to perform this procedure safely, the nurse should:
apply suction while advancing the catheter into the airway
insert the non lubricated catheter into the nasal passage.
Osuction the nasotracheal passage after suctioning the mouth
hold the catheter with the dominant hand after donning sterile gloves
The Correct Answer is D
A. Apply suction while advancing the catheter into the airway: This increases the risk of tissue trauma and should be avoided. Suction should only be applied during withdrawal.
B. Insert the non-lubricated catheter into the nasal passage: Lubrication is necessary to prevent nasal tissue trauma and facilitate smoother insertion.
C. Suction the nasotracheal passage after suctioning the mouth: Suctioning the mouth first introduces contamination into the sterile airway, increasing the risk of infection.
D. Hold the catheter with the dominant hand after donning sterile gloves: This technique maintains sterility and prevents contamination of the catheter during the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Take a good nap: While rest is important, shallow breathing and irritability may indicate inadequate ventilation, which won't improve solely with sleep.
B. Turn, cough, and deep breathe: This helps open the airways, promotes alveolar expansion, and clears secretions, which may improve oxygenation and reduce restlessness.
C. Submit to a back rub: Although comforting, it does not directly address shallow breathing or improve oxygenation.
D. Take some pain medication: Pain control can be essential, but this action is premature without assessing whether pain is the cause of shallow breathing.
Correct Answer is ["A","B","D"]
Explanation
A. Aspirated vomit: Can obstruct the airway or cause aspiration pneumonia, reducing oxygenation.
B. Pulmonary fibrosis: Scarring of lung tissue impairs gas exchange, leading to hypoxia.
C. Hiccoughs: Not associated with hypoxia; they are an involuntary diaphragmatic spasm.
D. High altitude: Decreased atmospheric oxygen levels can result in hypoxia.
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