A home health nurse is teaching a child's parents about endotracheal suctioning. Which of the following statements should the nurse include in the teaching?
Apply suction when inserting the catheter.
Allow the child to rest for 10 to 15 seconds after each suctioning attempt.
Set the suction pressure to 110 mm Hg.
Apply suction for less than 10 seconds.
The Correct Answer is D
A. Suction should not be applied during insertion to avoid trauma to the airway.
B. The rest period between suctioning attempts should be at least 30-60 seconds to allow the child to recover.
C. The appropriate suction pressure for infants and children should be set between 60-100 mm Hg.
D. Suctioning should be applied for less than 10 seconds to minimize hypoxia and trauma.
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Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Accordion-style gates can pose a strangulation hazard and should not be used.
B. The mattress should fit snugly against the sides of the crib to prevent the infant from becoming trapped between the mattress and crib sides.
C. The water heater should be set to no higher than 49°C (120°F) to prevent scalding injuries.
D. Tying plastic bags in knots before discarding them can help prevent suffocation hazards.
E. Serving food in small, non-circular pieces reduces the risk of choking in infants.
Correct Answer is C
Explanation
A. Mouth breathing is common after a tonsillectomy due to throat pain and swelling but is not a specific sign of hemorrhage.
B. Reports of thirst can occur after surgery due to limited oral intake and mouth breathing but are not indicative of hemorrhage.
C. Frequent swallowing is a key sign of hemorrhage following a tonsillectomy, as the child may be swallowing blood that is dripping into the throat.
D. Reports of pain are expected after tonsillectomy but do not specifically indicate hemorrhage.
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