Which of the following is the correct order for trach suctioning?
Adjust the suction pressure, assess the client's response, don clean gloves, insert the suction catheter without suction, apply suction while withdrawing the catheter
Don sterile gloves, adjust suction pressure, apply suction while inserting the suction catheter, withdraw the catheter without suction, assess the client's response
Adjust suction pressure, don sterile gloves, test suction, insert the suction catheter without suction, apply suction while withdrawing the catheter, assess the client's response
Don sterile gloves, assess the client's response, adjust the suction pressure, insert the suction catheter without suction, apply suction while withdrawing the catheter
The Correct Answer is C
A. Adjust the suction pressure, assess the client's response, don clean gloves, insert the suction catheter without suction, apply suction while withdrawing the catheter:
Gloves must be sterile, not clean, for trach suctioning. Also, suction must be tested before insertion.
B. Don sterile gloves, adjust suction pressure, apply suction while inserting the suction catheter, withdraw the catheter without suction, assess the client's response:
Suction should never be applied while inserting the catheter-this can damage mucosa and cause hypoxia.
C. Adjust suction pressure, don sterile gloves, test suction, insert the suction catheter without suction, apply suction while withdrawing the catheter, assess the client's response:
This is the proper sequence for safe and effective suctioning.
D. Don sterile gloves, assess the client's response, adjust the suction pressure, insert the suction catheter without suction, apply suction while withdrawing the catheter:
Suction pressure should be adjusted before donning sterile gloves, and suction should be tested before catheter insertion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. “I hope I don't have to take as many pain pills.”
This statement is appropriate; one of the goals of TENS is to reduce dependence on medications.
B. “I wish I didn't have to attach the electrodes to my skin.”
While this may reflect a personal dislike, it does not indicate a misunderstanding of how TENS works.
C. “It's unfortunate that I have to be in the hospital for this treatment.”
This indicates misunderstanding, as TENS is a portable, home-usable device that does not require hospitalization.
D. “I need to shave the hair off the skin where I place the electrodes.”
This is correct; removing hair helps ensure good contact between the electrode and skin.
Correct Answer is A
Explanation
A. Surgical incision:
This is acute pain-short-term and associated with a specific injury or surgical procedure.
B. Fibromyalgia:
This is a chronic pain condition that persists over time and is not directly related to tissue injury.
C. Peripheral neuropathy:
This is chronic neuropathic pain, often associated with conditions like diabetes.
D. Rheumatoid arthritis:
RA involves chronic inflammatory pain, not acute pain.
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