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 A
Explanation
A. Severity:
Asking the client to rate their pain on a scale is assessing the severity of the pain.
B. Precipitating cause:
Precipitating cause refers to what triggers the pain, such as movement or stress.
C. Quality:
Quality describes what the pain feels like, such as burning, stabbing, or aching.
D. Region:
Region refers to the location of the pain on the body.
Correct Answer is A
Explanation
A. “Repeat your breathing exercise every 1 to 2 hrs.”
Frequent deep breathing and coughing helps prevent atelectasis and pneumonia postoperatively.
B. “Inhale through your mouth.”
The client should inhale through the nose, which helps humidify and filter air.
C. “Exhale through your nose.”
Clients should exhale through the mouth when doing breathing exercises to expel secretions effectively.
D. “Hold your breath for 15 seconds.”
The client is typically advised to hold the breath for 2–5 seconds during incentive spirometry—not 15 seconds, which is too long.
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