The nurse is aware that the best time to schedule a postural drainage treatment is

in the morning immediately after breakfast

shortly after the patient arises in the morning, before breakfast

30 minutes after lunch

1 hour after supper

Answer and Explanation

The Correct Answer is B

A) In the morning immediately after breakfast. Performing postural drainage after eating may induce nausea and vomiting.
B) Shortly after the patient arises in the morning, before breakfast. This timing allows mucus to drain more effectively since the patient has been lying down overnight, and an empty stomach minimizes the risk of vomiting.
C) 30 minutes after lunch. Postural drainage should be performed at least 1 to 2 hours after meals to prevent gastrointestinal discomfort.
D) 1 hour after supper. While this timing is better than immediately after eating, morning sessions are generally more effective.

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Correct Answer is A

Explanation

A. Use a 14-Fr catheter: This is the appropriate size for suctioning an adult to effectively remove thick secretions.
B. Use suction pressure between 120 and 160 mm Hg: This pressure is too high and may cause mucosal damage; 100 to 120 mm Hg is recommended for adults.
C. Use an 8-Fr catheter: This size is too small for effectively suctioning thick secretions in adults.
D. Use the catheter to suction the mouth and nasopharynx: Suctioning the mouth first contaminates the catheter, increasing the risk of infection in the nasopharynx.

A. Continue to monitor the client. B. Clamp the chest tube near the water seal. C. Reposition the client and recheck the chamber. D. Add water to the chamber.

Correct Answer is A

Explanation

A. Continue to monitor the client: A rise in the water seal with inspiration and fall during expiration (tidaling) is normal in a functioning chest tube system and indicates proper lung expansion.
B. Clamp the chest tube near the water seal: Clamping the tube can cause tension pneumothorax and is not appropriate unless specifically instructed by a provider.
C. Reposition the client and recheck the chamber: Repositioning is unnecessary unless there are signs of obstruction or complications.
D. Add water to the chamber: Water addition is only required if the water level falls below the recommended amount, not in response to normal tidaling.

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The nurse is aware that the best time to schedule a postural drainage treatment is

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is nasopharyngeal suctioning an adult patient to remove thick secretions. The nurse will:

Correct Answer is A

Explanation

A nurse is caring for a client who has a three-chamber closed chest tube system. Which of the following should the nurse do after noticing a rise in the water seal with client inspiration?

Correct Answer is A

Explanation

The nurse assists the patient with emphysema into the most beneficial position to facilitate respiration, which is:

A nurse is reinforcing preoperative teaching for a client about coughing and deep breathing. Which of the following statements should the nurse make?

A nurse caring for a patient with a tracheostomy should determine whether the patient needs suctioning by:

A nurse in a long-term care facility sees a client who is choking. Which of the following data should the nurse identify as requiring an abdominal thrust?

A nurse performing oral suctioning on an adult patient should set the wall suction machine so that the suction pressure is between:

A nurse is caring for a client who is experiencing respiratory distress. Which of the following positions should the nurse assist the client into?

The nurse recognizes that a postoperative patient who can breathe independently but has trouble maintaining an airway because of the tongue falling back into the throat would be best benefitted by a(n)

A nurse caring for a patient with a water seal type chest drainage that is on low suction assesses that there is constant bubbling in the suction container. The nurse should: