A nurse is performing nasopharyngeal suctioning for an adult client. Which of the following techniques should the nurse use?

Apply intermittent suction for 30 seconds.

Insert the catheter 10 cm (4 in).

Apply suction while inserting the catheter.

Wait 1 min between suctioning attempts.

Answer and Explanation

The Correct Answer is D

Waiting 1 minute between suctioning attempts allows the client to recover and ensures that the procedure is not overly invasive. It also helps to prevent the client from becoming hypoxic.

The distance that the nasopharyngeal catheter should be inserted varies from person to person and therefore 10 cm is not standard.

During nasopharyngeal suctioning, the nurse should apply suction intermittently while withdrawing the catheter, not during insertion. Applying suction during insertion can cause tissue damage and increase the risk of trauma.

The nurse should also apply intermittent suction for no longer than 15 seconds to prevent hypoxia and damage to the mucosal lining. Suctioning for an extended period can cause discomfort and harm to the client.

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Correct Answer is B

Explanation

Range-of-motion exercises can be safely performed by assistive personnel under the supervision and direction of the nurse. It helps to maintain the mobility and function of the client's hands while in restraints.

A. Plug the IV pump's cord into a different outlet. B. Clear the settings and reset the IV pump. C. Discontinue use and tag the IV pump. D. Replace the IV pump's tubing.

Correct Answer is C

Explanation

A malfunctioning IV pump screen poses a risk to the accurate administration of IV fluids and medications, and it can compromise patient safety. It is important to discontinue use of the malfunctioning pump to prevent potential errors or complications. The nurse should tag the IV pump to notify others that it is not functioning properly and should not be used until it is repaired or replaced.

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A nurse is performing nasopharyngeal suctioning for an adult client. Which of the following techniques should the nurse use?

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