A nurse is performing tracheostomy care for a patient and plans to remove copious secretions. What actions should the nurse take?

Lubricate the suction catheter tip with sterile saline

Hyperventilate the patient on 100% oxygen prior to suctioning

Perform chest physiotherapy prior to suctioning

Suction two to three times with a 60-second pause between passes

Answer and Explanation

The Correct Answer is D

Choice A rationale

Lubricating the suction catheter tip with sterile saline is not recommended because it can introduce bacteria into the tracheostomy tube and cause infection.

Choice B rationale

Hyperventilating the patient on 100% oxygen prior to suctioning is not necessary and can cause complications such as oxygen toxicity.

Choice C rationale

Performing chest physiotherapy prior to suctioning is not typically done during tracheostomy care. Chest physiotherapy is a separate procedure that involves physical techniques to remove mucus from the respiratory tract.

Choice D rationale

Suctioning two to three times with a 60-second pause between passes is the correct action. This helps to remove secretions effectively without causing hypoxia.

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Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"B"}

Explanation

The condition that poses the greatest risk to the newborn is Meconium aspiration syndrome due to color of amniotic fluid.

Meconium aspiration syndrome is a serious condition that can occur when a newborn inhales a mixture of meconium (the first stool) and amniotic fluid into the lungs around the time of delivery. The dark brown-greenish color of the amniotic fluid indicates the presence of meconium, which increases the risk of this condition.

A. Lactated Ringer’s. B. 0.9% sodium chloride. C. Sodium chloride. D. Dextrose 10% in water.

Correct Answer is D

Explanation

If there is a delay in receiving the new TPN solution from the pharmacy, the nurse should infuse Dextrose 10% in water until the next TPN solution is available. This is because stopping TPN abruptly can cause hypoglycemia. Dextrose 10% in water can provide a source of glucose to prevent hypoglycemia.

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A nurse is performing tracheostomy care for a patient and plans to remove copious secretions. What actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"B"}

Explanation

A nurse is preparing to replace a nearly empty container of total parenteral nutrition (TPN) for a patient. There has been a delay in receiving the new TPN solution from the pharmacy. Which of the following solutions should the nurse infuse until the next TPN solution is available?

Correct Answer is D

Explanation

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