The nurse performs in-line suctioning when the patient experiences a decrease in oxygen saturation and bradycardia. Which nursing action is best?
Discontinue suctioning and administer 100% oxygen
Discontinue suctioning and prepare for resuscitation
Continue suctioning and administer 50% oxygen
Continue suctioning and administer prescribed epinephrine
The Correct Answer is A
A. Discontinue suctioning and administer 100% oxygen: A drop in oxygen saturation and bradycardia indicates the patient is not tolerating suctioning. The priority is to stop suctioning and administer 100% oxygen to prevent hypoxia.
B. Discontinue suctioning and prepare for resuscitation: While severe cases may require resuscitation, the immediate intervention is oxygen administration, not premature resuscitation efforts.
C. Continue suctioning and administer 50% oxygen: Continuing suctioning may worsen hypoxia and bradycardia. Administering 50% oxygen may not be sufficient in a critical situation.
D. Continue suctioning and administer prescribed epinephrine: Epinephrine is used for anaphylaxis and severe cardiac issues, not for managing suction-related hypoxia.
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Related Questions
Correct Answer is C
Explanation
A. Suicidal thoughts without a plan are not a cause for concern: Any expression of suicidal thoughts, even without a specific plan, should be taken seriously. Individuals may still be at risk and require further assessment and intervention.
B. Suicide is the leading cause of death for Americans 50-65 years old: While suicide is a significant concern in this age group, it is not the leading cause of death. The leading causes of death for individuals aged 50-65 are heart disease and cancer.
C. Greater than 90% of individuals who commit suicide have a diagnosed mental health disorder: Research indicates that the vast majority of individuals who die by suicide have an underlying mental health disorder, such as depression, bipolar disorder, or substance use disorder.
D. 10,000 Americans commit suicide each year: The number is significantly higher. According to the CDC, over 48,000 Americans die by suicide annually.
Correct Answer is A
Explanation
A. Discontinue suctioning and administer 100% oxygen: A drop in oxygen saturation and bradycardia indicates the patient is not tolerating suctioning. The priority is to stop suctioning and administer 100% oxygen to prevent hypoxia.
B. Discontinue suctioning and prepare for resuscitation: While severe cases may require resuscitation, the immediate intervention is oxygen administration, not premature resuscitation efforts.
C. Continue suctioning and administer 50% oxygen: Continuing suctioning may worsen hypoxia and bradycardia. Administering 50% oxygen may not be sufficient in a critical situation.
D. Continue suctioning and administer prescribed epinephrine: Epinephrine is used for anaphylaxis and severe cardiac issues, not for managing suction-related hypoxia.
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