A nurse has received an order to suction a patient's endotracheal tube. Which action is most appropriate when performing this intervention?
Occlude the Y-port when inserting the catheter
Limit the application of suction to 20-30 seconds
Assist the client into a supine position in preparation for suctioning.
Use sterile saline to moisten the end of the suction catheter
The Correct Answer is B
A. Occluding the Y-port during insertion is not a standard practice and may impede proper suctioning.
B. Limiting the application of suction to 20-30 seconds helps prevent hypoxia and tissue damage.
C. Assisting the client into a supine position is not a standard practice for endotracheal tube suctioning.
D. Using sterile saline to moisten the end of the suction catheter may introduce unnecessary moisture into the airway.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The right lower quadrant is an anatomical location in the abdomen and is not associated with gas exchange.
B. Gas exchange occurs in the alveoli of the lungs, where oxygen is taken in, and carbon dioxide is expelled.
C. The left ventricle is part of the heart and is involved in pumping oxygenated blood to the body; it is not the site of gas exchange.
D. The trachea is the windpipe that carries air to and from the lungs but is not the specific site of gas exchange.
Correct Answer is B
Explanation
A. Tertiary prevention aims to prevent complications and further deterioration in individuals with established diseases or conditions.
B. Secondary prevention involves early detection and prompt intervention to manage or control a health condition.
C. Primary prevention is focused on preventing the development of a health condition in the first place, such as health education.
D. Educational is not a recognized level of prevention; it is a broader term encompassing various prevention levels.
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