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 C

Explanation

Timolol is a beta-blocker medication that is commonly prescribed for the treatment of glaucoma. It works by reducing the production of aqueous humor in the eye, thereby decreasing intraocular pressure. However, timolol can also be systemically absorbed, which may lead to cardiovascular side effects.

Checking the heart rate while taking timolol is important because beta-blockers can potentially lower heart rate and blood pressure. It is essential to monitor for any changes in heart rate or any other cardiovascular symptoms while using timolol eye drops.

A. Maintain the head of the client's bed in high-Fowler's position. B. Remove the client's dressing when it becomes saturated. C. Check the client's pedal pulses every hour. D. Place an abductor wedge under the client's right knee.

Correct Answer is C

Explanation

A nurse assisting with the care of a client who is 6 hours postoperative following a right total knee arthroplasty should check the client's pedal pulses every hour. This is important to assess the adequacy of blood flow and tissue perfusion to the extremity.

It is also important to monitor the client's pain level, administer pain medication as ordered, and encourage the client to perform exercises as appropriate.

The head of the client's bed should be maintained in a semi-Fowler's position to promote optimal respiratory function, and the client's dressing should be changed only as needed and with sterile technique.

An abductor wedge is not typically used following knee arthroplasty surgery.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has primary open-angle glaucoma and a new prescription for timolol eye drops. Which of the following statements indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is assisting with the care of a client who is 6 hr postoperative following a right total knee arthroplasty. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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