The nurse recognizes that the most appropriate reason to suction a client is that:
suctioning once every eight hours is a part of routine pulmonary nursing care.
the physician has prescribed suctioning every hour.
the client has thick sputum, and routinely coughs and swallows his sputum.
the client has gurgling respirations, and is unable to cough.
The Correct Answer is D
Choice A rationale: Suctioning is not typically performed as part of routine pulmonary nursing care every eight hours. It is indicated based on the client's clinical need.
Choice B rationale: Suctioning frequency should be determined by the client's condition and physician's orders, not a fixed hourly schedule.
Choice C rationale: Routine coughing and swallowing of sputum do not necessarily warrant suctioning. Suctioning is indicated when the client is unable to manage secretions effectively.
Choice D rationale: Suctioning is appropriate when the client has gurgling respirations and is unable to cough effectively, indicating the need to clear the airway.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Intravenous administration results in the most predictable onset and complete bioavailability to the client, as the medication goes directly into the bloodstream.
Choice B rationale: Oral administration is subject to factors such as absorption in the gastrointestinal tract, which can affect predictability and bioavailability.
Choice C rationale: Subcutaneous administration can be affected by factors like absorption rates and tissue characteristics, leading to variations in onset and bioavailability.
Choice D rationale: Transdermal administration has a slower onset and may be influenced by factors such as skin integrity and blood flow.
Correct Answer is D
Explanation
Choice A rationale: The sclera by the outer canthus is not the typical site for administering eyedrops bilaterally.
Choice B rationale: Dropping medication onto the center of the cornea is not the recommended technique for administering eyedrops.
Choice C rationale: The sclera by the inner canthus is not the usual site for administering eyedrops bilaterally.
Choice D rationale: The lower conjunctival sac is the appropriate area for administering eyedrops, ensuring proper absorption and distribution.
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