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 C
Explanation
A. Increasing oxygen via face mask may be necessary, but raising the head of the bed is the initial priority to improve oxygenation.
B. Reporting vital signs is important, but immediate intervention is needed to address the low oxygen saturation.
C. Raising the head of the bed helps improve lung expansion and oxygenation in pneumonia patients by reducing pressure on the diaphragm.
D. Administering albuterol may be part of the plan, but improving the client's position is the immediate priority.
Correct Answer is B
Explanation
A. Checking for mucus in urine is not the purpose of a fecal occult blood test.
B. FOBT is a test to detect hidden (occult) blood in the stool.
C. Checking for mucus in stools is not the primary purpose of FOBT.
D. Checking for the presence of blood in urine is not the purpose of FOBT.

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