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 C

Explanation

Choice A rationale

While facial paralysis is a serious condition, it is not typically associated with a cleft palate.

Choice B rationale

Ear infections are a common complication of a cleft palate, but they are not typically a sign of an immediate, serious problem.

Choice C rationale

Increased intracranial pressure is not a common complication of a cleft palate, but it is a serious condition that requires immediate medical attention.

Choice D rationale

Drooling is common in children with a cleft palate and is not typically a sign of a serious problem.

A. “I will adjust the harness straps every day.”. B. “I will check my baby’s skin three times each day.”. C. “I will gently massage lotion on his skin around the harness clasps.”. D. “I will place the diaper over the harness.”.

Correct Answer is B

Explanation

Choice A rationale

Adjusting the harness straps every day is not recommended. The straps should be adjusted only as directed by the healthcare provider or orthopedic specialist to ensure proper positioning and effectiveness of the Pavlik harness.

Choice B rationale

This is the correct answer. Checking the baby’s skin three times a day is important to prevent skin irritation or breakdown under the harness.

Choice C rationale

Massaging lotion on the skin around the harness clasps is not recommended as it can cause skin irritation.

Choice D rationale

The diaper should be placed under the harness to prevent soiling and maintain the effectiveness of the harness.

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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

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

Correct Answer is C

Explanation

A nurse is reinforcing teaching with the mother of a 2-month-old infant whose provider applied a Pavlik harness 1 week earlier for the treatment of developmental hip dysplasia.Which of the following statements by the mother indicates an understanding of the teaching?

Correct Answer is B

Explanation

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