(Online ATI/HESI question): A nurse is preparing to suction a patient with thick secretions. Which type of suctioning catheter should the nurse choose to effectively aspirate the secretions?

Closed catheter.

Metal catheter.

Large French scale catheter.

Catheter with a single opening.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

A closed catheter is the most appropriate choice for suctioning a patient with thick secretions. Closed catheters have a two-way valve that allows for continuous suction while minimizing the risk of introducing air into the patient's airway. This design prevents the loss of oxygen and maintains a closed system, reducing the risk of complications such as hypoxia and infection.

Choice B rationale:

Metal catheters are not suitable for suctioning thick secretions. They can be rigid and may cause trauma to the airway, leading to bleeding and discomfort for the patient.

Choice C rationale:

Large French scale catheters are not specifically designed for thick secretions and may not effectively aspirate them. These catheters are typically used for drainage of body cavities or larger organs.

Choice D rationale:

A catheter with a single opening is not ideal for suctioning thick secretions. It may not provide sufficient suctioning power and could lead to ineffective removal of secretions from the patient's airway.

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Correct Answer is C

Explanation

Choice A rationale:

Limiting the suctioning time to 15 seconds may still be too long for some patients, increasing the risk of hypoxia and other complications related to prolonged suctioning. The optimal suctioning time should be shorter to minimize adverse effects.

Choice B rationale:

Limiting the suctioning time to 20 seconds is longer than the recommended duration. Prolonged suctioning can cause hypoxia, increased intracranial pressure, and other adverse effects, making it crucial to keep the time as short as possible.

Choice C rationale:

Suctioning time should generally be limited to 10 seconds to reduce the risk of complications while effectively clearing the patient's airway. This duration allows for adequate removal of secretions without causing significant disturbances to the patient's oxygenation and hemodynamic stability.

Choice D rationale:

Limiting the suctioning time to 5 seconds is too short to effectively clear secretions from the airway, especially in patients with excessive or tenacious secretions. Sufficient time is needed to ensure proper removal of respiratory secretions and maintain the patient's airway patency.

A. "Don't worry; it won't take long.” B. "We can postpone the procedure if you prefer.” C. "I understand. Let's proceed, and I'll explain each step.” D. "Suctioning is routine; you'll be fine once it's done.”

Correct Answer is C

Explanation

Choice C rationale:

The nurse should acknowledge the patient's anxiety and respond empathetically. Assuring the patient that the nurse will explain each step during the procedure can help alleviate anxiety. This approach promotes trust and helps the patient feel more in control, which is important for patient cooperation during the suctioning procedure.

Choice A rationale:

Telling the patient not to worry and that it won't take long may come across as dismissive and not address the patient's concerns adequately.

Choice B rationale:

Offering to postpone the procedure is an option, but the nurse should first attempt to address the patient's anxiety and provide reassurance. If the anxiety persists despite the explanation, postponing the procedure can be considered.

Choice D rationale:

Dismissing the patient's anxiety by stating that suctioning is routine may not effectively address the patient's feelings and may not be comforting.

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(Online ATI/HESI question): A nurse is preparing to suction a patient with thick secretions. Which type of suctioning catheter should the nurse choose to effectively aspirate the secretions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When suctioning a patient with an endotracheal tube (ETT), the nurse should limit the suctioning time to:

Correct Answer is C

Explanation

A nurse is about to perform sterile suctioning and asks the patient if they are ready. The patient responds, "I am feeling very anxious about this.” What would be the appropriate response from the nurse?

Correct Answer is C

Explanation

During sterile suctioning, the nurse observes the patient experiencing bronchospasm and increased intracranial pressure. What should be the nurse's immediate action?

A client with a history of bleeding disorder requires suctioning. Which statement indicates that the nurse should not proceed with the procedure?

A nurse is performing tracheostomy care for a patient with a tracheostomy tube (TT). Which action should the nurse include in the procedure?

A nurse is educating a group of patients about sterile suctioning. Which patient statement indicates a contraindication for this procedure?

(Select all that apply - Online ATI/HESI question): A nurse is performing sterile suctioning on a patient. Which of the following are appropriate infection control measures for this procedure? Select all that apply.

(Online ATI/HESI question): A nurse is preparing to suction a patient with thick secretions. Which type of suctioning catheter should the nurse choose to effectively aspirate the secretions?

A nurse has completed sterile suctioning for a patient with an endotracheal tube (ETT). What should the nurse do next?

A client is undergoing sterile suctioning. Which interventions should the nurse implement during the suctioning procedure? Select all that apply.