When suctioning a child with a tracheostomy, what should the nurse do to maintain a patent airway and prevent complications?
Apply suction continuously while inserting the suction catheter.
Use a large diameter suction catheter for better suctioning.
Suction for no more than 10 seconds at a time.
Apply suction while the child is exhaling.
The Correct Answer is C
Choice A rationale
Applying suction continuously while inserting the suction catheter is not recommended. This could potentially cause trauma to the trachea and lead to complications.
Choice B rationale
Using a large diameter suction catheter for better suctioning is not recommended. The size of the suction catheter should be appropriate for the size of the tracheostomy tube. Using a catheter that is too large could cause trauma to the trachea.
Choice C rationale
Suctioning for no more than 10 seconds at a time is recommended to prevent hypoxia (lack of oxygen). Prolonged suctioning can lead to complications such as hypoxia, trauma to the trachea, and cardiac arrhythmias.
Choice D rationale
Applying suction while the child is exhaling is not recommended. Suction should be applied while withdrawing the suction catheter, not during exhalation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Edema in the palm of the hand is a sign of IV infiltration. IV infiltration occurs when IV fluids or medications leak into the surrounding tissues outside the intended vein. This can cause swelling or edema, which is a common sign of infiltration.
Choice B rationale
Absence of blanching at the insertion site is not necessarily an indication of an infiltration. Blanching (whitening of the skin) can occur due to various reasons, including pressure on the site or a reaction to the IV fluid or medication. However, it is not a definitive sign of infiltration.
Choice C rationale
Warmth around the insertion site is not a definitive sign of an infiltration. While warmth can occur due to inflammation or infection, it is not a specific sign of infiltration.
Choice D rationale
Blood in the IV tubing is not a definitive sign of an infiltration. While blood can back up into the IV tubing due to various reasons, including a blocked or kinked catheter, it is not a specific sign of infiltration.
Correct Answer is C
Explanation
Choice A rationale
Pulling the earlobe up and back is the correct method for administering ear drops in adults, not in children.
Choice B rationale
Pulling the earlobe down and out is not the correct method for administering ear drops.
Choice C rationale
For children, the earlobe should be pulled down and back to straighten the ear canal. The medication can then be dropped into the ear canal, and the ear should remain facing up for about 1 or 2 minutes to allow the medication to come into contact with the infection.
Choice D rationale
Pulling the earlobe up and out is not the correct method for administering ear drops.
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