When suctioning a child with a tracheostomy, what should the nurse do to maintain a patent airway and prevent complications?

Apply suction continuously while inserting the suction catheter.

Use a large diameter suction catheter for better suctioning.

Suction for no more than 10 seconds at a time.

Apply suction while the child is exhaling.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Applying suction continuously while inserting the suction catheter is not recommended. This could potentially cause trauma to the trachea and lead to complications.

Choice B rationale

Using a large diameter suction catheter for better suctioning is not recommended. The size of the suction catheter should be appropriate for the size of the tracheostomy tube. Using a catheter that is too large could cause trauma to the trachea.

Choice C rationale

Suctioning for no more than 10 seconds at a time is recommended to prevent hypoxia (lack of oxygen). Prolonged suctioning can lead to complications such as hypoxia, trauma to the trachea, and cardiac arrhythmias.

Choice D rationale

Applying suction while the child is exhaling is not recommended. Suction should be applied while withdrawing the suction catheter, not during exhalation.

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Correct Answer is A

Explanation

Choice A rationale

Maintaining elbow restraints on the toddler after a cleft palate repair is a common practice. This is done to prevent the child from touching the surgical site and causing damage to the delicate repair.

Choice B rationale

Providing soft foods for the toddler after a cleft palate repair may seem like a good idea, but it is not the most appropriate intervention immediately after surgery. The surgical site in the mouth needs time to heal, and introducing foods too soon could disrupt the healing process.

Choice C rationale

Suctioning the toddler’s nose and mouth every hour after a cleft palate repair is not typically recommended. This could potentially damage the surgical site and disrupt the healing process.

Choice D rationale

Giving the toddler a hard-tipped sippy cup to drink liquids after a cleft palate repair is not typically recommended. The hard tip could potentially damage the surgical site and disrupt the healing process.

A. “Sleep apnea is the main cause of SIDS.”. B. “You should place your baby on her back when sleeping to decrease the risk of SIDS.”. C. “SIDS rates have been rising over the last 10 years.”. D. “SIDS is directly correlated to diphtheria, tetanus, and pertussis vaccines.”. .

Correct Answer is B

Explanation

Choice A rationale

While sleep apnea has been associated with SIDS, it is not considered the main cause. SIDS is a complex syndrome that is likely caused by a combination of genetic, environmental, and physiological factors.

Choice B rationale

Placing a baby on their back to sleep is one of the most effective ways to reduce the risk of SIDS. This position allows for optimal oxygenation and minimizes the risk of suffocation.

Choice C rationale

SIDS rates have actually been decreasing over the last 10 years due to increased awareness and education about safe sleep practices.

Choice D rationale

There is no evidence to suggest that the diphtheria, tetanus, and pertussis vaccines are directly correlated with SIDS. In fact, immunizations are an important part of maintaining a baby’s health and reducing the risk of serious illness. Down syndromeDown syndrome Explore

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When suctioning a child with a tracheostomy, what should the nurse do to maintain a patent airway and prevent complications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care of a 14-month-old toddler who is 24 hr postoperative following a cleft palate repair.Which of the following interventions should the nurse include in the plan?

Correct Answer is A

Explanation

A nurse is caring for a 24-week-old infant whose mother requests additional information about sudden infant death syndrome (SIDS). Which of the following responses should the nurse make?

Correct Answer is B

Explanation

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The nurse is educating parents of a child with a cleft palate.What should the nurse instruct the parents to report immediately?

When suctioning a child with a tracheostomy, what should the nurse do to maintain a patent airway and prevent complications?

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