(Select all that apply): A nurse is preparing to perform nasopharyngeal suctioning for a patient with a nasopharyngeal tube (NPT). What actions should the nurse take during the procedure? Select all that apply.

Insert the catheter until resistance is met.

Preoxygenate the patient with 100% oxygen.

Apply intermittent suction while inserting the catheter.

Limit each suction pass to no more than 15 seconds.

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

Answer and Explanation

Correct Answer : B,D,E

Choice A rationale:

The nurse should not insert the catheter until resistance is met during nasopharyngeal suctioning. This action could cause trauma to the nasal mucosa or other structures in the nasopharynx.

Choice B rationale:

Preoxygenating the patient with 100% oxygen is important before nasopharyngeal suctioning to prevent hypoxia during the procedure. Suctioning can temporarily decrease oxygen levels, so preoxygenation helps maintain adequate oxygenation.

Choice C rationale:

Applying intermittent suction while inserting the catheter is not recommended during nasopharyngeal suctioning. Continuous suction is preferred for effective removal of secretions.

Choice D rationale:

Limiting each suction pass to no more than 15 seconds is an essential practice during nasopharyngeal suctioning. Prolonged suctioning can cause hypoxia and discomfort for the patient.

Choice E rationale:

Rinsing the catheter and tubing with saline after each suction pass helps maintain patency and prevent the accumulation of secretions, ensuring effective suctioning during the procedure.

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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.

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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(Select all that apply): A nurse is preparing to perform nasopharyngeal suctioning for a patient with a nasopharyngeal tube (NPT). What actions should the nurse take during the procedure? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(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 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

(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.

A nurse is preparing to perform sterile suctioning on a patient. What should be the nurse's priority action before suctioning?

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

A client is undergoing sterile suctioning. Which interventions should the nurse implement to prevent complications? Select all that apply.

(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?

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

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