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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale: The normal stimulus to breathe is an increased carbon dioxide level, which stimulates the respiratory center in the brain.

Choice B rationale: Increased oxygen levels do not serve as the primary stimulus for breathing. The respiratory center is primarily responsive to carbon dioxide levels.

Choice C rationale: Increased carbon dioxide level is the correct stimulus for normal breathing.

Choice D rationale: Decreased oxygen level is not the primary stimulus for normal breathing.

A. carbon dioxide level. B. surfactant level. C. bicarbonate ion level. D. hemoglobin level.

Correct Answer is D

Explanation

Choice A rationale: Carbon dioxide level is not a direct indicator of the blood's ability to transport oxygen.

Choice B rationale: Surfactant level is not a direct indicator of the blood's ability to transport oxygen; surfactant is related to lung function.

Choice C rationale: Bicarbonate ion level is more related to acid-base balance and not a direct indicator of the blood's ability to transport oxygen.

Choice D rationale: Hemoglobin level provides the most information about the blood's ability to transport oxygen, as hemoglobin carries oxygen to tissues.

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The nurse recognizes that the most appropriate reason to suction a client is that:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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