(Select all that apply): A client requires sterile suctioning through a tracheostomy tube (TT). What steps should the nurse follow during the suctioning procedure? Select all that apply.

Limit each suction pass to no more than 10 seconds.

Apply suction while inserting the catheter.

Rotate the catheter between thumb and forefinger.

Rinse the catheter and tubing with saline after each suction pass.

Suction more than three times in a row for thorough cleaning.

Answer and Explanation

Correct Answer : A,B,C,D

Choice A rationale:

The nurse should limit each suction pass to no more than 10 seconds to minimize the risk of tissue damage and hypoxia. Prolonged suctioning can cause trauma to the mucosa and lead to inadequate oxygenation.

Choice B rationale:

The nurse should apply suction while inserting the catheter to prevent the catheter from touching the airway walls before suction is initiated. This helps avoid stimulating the gag reflex and causing discomfort to the client.

Choice C rationale:

Rotating the catheter between the thumb and forefinger helps to facilitate even suctioning and prevent the catheter from adhering to the airway walls. It allows for effective removal of secretions without causing harm to the delicate tissues.

Choice D rationale:

After each suction pass, the nurse should rinse the catheter and tubing with saline to maintain its patency and prevent the buildup of secretions. This practice ensures that subsequent suctions are effective in clearing the airway.

Choice E rationale:

Suctioning more than three times in a row is not recommended because it can lead to hypoxia and tissue trauma. Frequent suctioning can reduce the oxygen levels in the airway and cause damage to the delicate tissues.

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Correct Answer is ["A","D","E"]

Explanation

Choice A rationale:

Environmental cleaning before suctioning is crucial to maintain a clean and safe environment for the patient. This reduces the risk of introducing additional contaminants during the procedure.

Choice B rationale:

Using a reusable suctioning catheter is not appropriate for infection control measures. Reusable catheters can harbor microorganisms, even after proper cleaning and sterilization, increasing the risk of cross-contamination.

Choice C rationale:

Proper disposal of used catheters into a regular trash bin is not a suitable infection control measure. Used catheters should be disposed of in designated biohazard containers to prevent exposure to potential pathogens.

Choice D rationale:

Hand hygiene before and after the procedure is essential to reduce the transmission of microorganisms to and from the patient.

Choice E rationale:

Wearing gloves and a mask during suctioning helps protect the nurse from exposure to the patient's bodily fluids and potential infectious agents.

Repeat steps 7 to 9 until no more secretions are obtained or until three passes are completed. Do not suction more than three times in a row to prevent complications. Allow at least one minute of rest between each suction pass to prevent fatigue and distress .

A. Plastic. B. Metal. C. Silicone. D. Rubber. E. Glass.

Correct Answer is ["A","B","C","D"]

Explanation

Choice A:

Plastic,.

Choice B:

Metal,.

Choice C:

Silicone, and Choice D:

Rubber.

Choice A rationale:

Plastic suctioning catheters are commonly used for sterile suctioning as they are disposable and come in various sizes for different patient needs.

Choice B rationale:

Metal suctioning catheters are also used for sterile suctioning and are often reusable, making them cost-effective for healthcare facilities.

Choice C rationale:

Silicone suctioning catheters are commonly used in sensitive situations or patients with latex allergies, as silicone is a non-allergenic material.

Choice D rationale:

Rubber suctioning catheters were commonly used in the past, but they are less common now due to the availability of more suitable materials like plastic and silicone.

Choice E rationale:

Glass suctioning catheters are not used for sterile suctioning due to the risk of breakage, which can lead to serious injuries and complications.

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(Select all that apply): A client requires sterile suctioning through a tracheostomy tube (TT). What steps should the nurse follow during the suctioning procedure? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(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.

Correct Answer is ["A","D","E"]

Explanation

(Select all that apply): A nurse is preparing to perform sterile suctioning on a patient. Which of the following are types of suctioning catheters commonly used for this procedure? Select all that apply.

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is performing sterile suctioning on a patient with an artificial airway. What is the purpose of sterile suctioning?

(Select all that apply): A client requires sterile suctioning through a tracheostomy tube (TT). What steps should the nurse follow during the suctioning 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?

(Online ATI/HESI question): A nurse is suctioning a patient with an artificial airway. Which of the following materials is preferred for suctioning catheters to reduce the risk of infection?

A nurse has completed sterile suctioning for a patient. What should be the nurse's next action after suctioning?

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

A nurse is performing sterile suctioning and observes the patient's oxygen saturation dropping below the normal range. Which statement by the nurse is appropriate?

A nurse is teaching infection control principles for sterile suctioning. Which measure is the most important to prevent cross-contamination during the procedure?