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

Answer and Explanation

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.

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Correct Answer is B

Explanation

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.

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 patient requires suctioning via the nasotracheal route. In order to perform this procedure safely, the nurse should:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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