A nurse is caring for a client who requires nasotracheal suctioning. Identify the sequence the nurse should follow to perform suctioning. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Don sterile gloves.
Turn on the suction and set the pressure.
Insert the catheter during the client's inspiration.
Apply suction while rotating the catheter.
Rinse the catheter to remove secretions.
The Correct Answer is B,A,C,D,E
B. The nurse first prepares the equipment and ensures the suction pressure is set appropriately.
A. Sterile gloves are then applied to maintain sterile technique during airway suctioning.
C. The catheter should be inserted during the client’s inspiration to minimize discomfort and maximize
effectiveness.
D. Suction should be applied while rotating the catheter to prevent tissue damage and to clear secretions effectively.
E. After suctioning, the catheter should be rinsed to remove any remaining secretions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Crusting of exudate is typical during wound healing and does not require immediate reporting unless other complications arise.
B. Mild swelling is expected, but it should be monitored closely.
C. Pink-tinged coloration is a normal part of healing and does not require reporting unless the incision shows signs of infection or other complications.
D. Partial separation of the incision may indicate a risk for wound dehiscence, which requires immediate provider attention.
Correct Answer is D
Explanation
A. The client should be advised to limit the use of the affected hand, but complete rest for 4 to 6 weeks is often too long unless otherwise directed by the surgeon.
B. Ice, not heat, is recommended for pain and swelling in the first 24 hours post-surgery. Heat can exacerbate swelling.
C. Numbness and tingling should improve after surgery and not persist. If they do, it could indicate complications such as nerve damage.
D. Elevating the hand above the level of the heart helps reduce swelling and aids in the healing process after carpal tunnel surgery.
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