The nurse is aware that the best time to schedule a postural drainage treatment is

in the morning immediately after breakfast

shortly after the patient arises in the morning, before breakfast

30 minutes after lunch

1 hour after supper

Answer and Explanation

The Correct Answer is B

A) In the morning immediately after breakfast. Performing postural drainage after eating may induce nausea and vomiting.
B) Shortly after the patient arises in the morning, before breakfast. This timing allows mucus to drain more effectively since the patient has been lying down overnight, and an empty stomach minimizes the risk of vomiting.
C) 30 minutes after lunch. Postural drainage should be performed at least 1 to 2 hours after meals to prevent gastrointestinal discomfort.
D) 1 hour after supper. While this timing is better than immediately after eating, morning sessions are generally more effective.

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Correct Answer is D

Explanation

A) Secure the tracheostomy ties so that fingers cannot fit between the ties and the neck. The ties should be secure but loose enough to fit one finger between the ties and the neck to prevent skin breakdown and maintain comfort.
B) Suction for 20 seconds. Suctioning for 20 seconds is too long and may cause hypoxia. Suction should not exceed 5 to 10 seconds.
C) Clean secretions from the tube using hydrogen peroxide. Hydrogen peroxide can irritate the delicate tissues and is not recommended. Saline or prescribed cleaning agents are preferred.
D) Set the vacuum pressure at 120 mmHg for suctioning. For a toddler, suction pressure should typically be between 80 and 120 mmHg to prevent mucosal damage.

A. be monitored for respiratory rate B. have the cuff pressure checked C. have the pharynx suctioned D. be administered extra oxygen

Correct Answer is C

Explanation

A. Be monitored for respiratory rate: Important for ongoing assessment but not directly related to the deflation process.
B. Have the cuff pressure checked: Necessary during care but not immediately before deflation.
C. Have the pharynx suctioned: Suctioning clears secretions that could be aspirated when the cuff is deflated.
D. Be administered extra oxygen: Beneficial but not a direct prerequisite for cuff deflation.

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The nurse is aware that the best time to schedule a postural drainage treatment is

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a newly licensed nurse about tracheostomy care for a toddler. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

The nurse recognizes that, immediately before a tracheostomy cuff deflation, the patient should:

Correct Answer is C

Explanation

The nurse is aware that changes occur in the respiratory system after the age of 70 that put the older adult more at risk for respiratory problems. These changes include: (Select all that apply.)

The nurse takes into consideration that a pulse oximeter may not give an accurate reading if the patient is:

A client is receiving oxygen therapy via a nasal cannula. When the client asks the nurse why he needs to have oxygen tubing in his nose, which of the following explanations about the cannula should the nurse give him?

A nurse is reinforcing teaching with a client who has a prescription for home oxygen therapy. Which of the following instructions should the nurse include?

A nurse is reinforcing teaching with a client who is having difficulty using an incentive spirometer. Which of the following instructions should the nurse include in the teaching?

A provider is discharging a client with a prescription for home oxygen therapy. The nurse should reinforce which of the following instructions with the client and his family? (Select all that apply.)

A nurse is attending a social gathering when another guest suddenly coughs weakly once, grasps her throat with her hands, and cannot talk. Which of the following actions should the nurse take?

The nurse is aware that the best time to schedule a postural drainage treatment is