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 B

Explanation

Choice A rationale

A rear-facing car seat in the back passenger seat is the recommended position for a 6-month-old infant. This position provides the best protection for the infant’s head, neck, and spine in the event of a crash.

Choice B rationale

A front-facing car seat is not recommended for a 6-month-old infant. The American Academy of Pediatrics recommends that children remain in rear-facing car seats until they reach the highest weight or height allowed by their car seat’s manufacturer.

Choice C rationale

A snugly fastened harness and a securely anchored car seat are important for the safety of the infant. These measures ensure that the car seat will function as intended in the event of a crash.

Choice D rationale

Using an infant model car seat that is securely anchored is appropriate for a 6-month-old infant. Infant car seats are designed to provide appropriate support and protection for infants.

A. Mix the medication with 10 mL of formula. B. Measure the elixir in a medicine cup before transferring to a syringe. C. Position the syringe to the side of the infant’s tongue. D. Place the infant supine in a crib prior to administration.

Correct Answer is C

Explanation

The correct answer is C. When administering an oral elixir to a 3-month-old infant using an oral medication syringe, the nurse should position the syringe to the side of the infant’s tongue. This prevents the medication from being administered too quickly and reduces the risk of choking.

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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 reinforcing teaching about car seat safety with the parents of a 6-month-old infant.Which of the following statements by the parents indicates a need for further teaching?

Correct Answer is B

Explanation

A nurse is preparing to administer an oral elixir to a 3-month-old infant using an oral medication syringe. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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