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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale

Feeding an infant with spina bifida through an NG tube may not be necessary unless the child has specific feeding difficulties or other health issues. Spina bifida does not typically affect a child’s ability to eat or swallow.

Choice B rationale

Placing an infant with spina bifida in a prone position can help protect and care for the lesion on their back. It can also help prevent pressure sores and promote comfort.

Choice C rationale

Covering the infant’s lesion with a dry cloth is not typically recommended. The lesion should be kept clean and moist to promote healing and prevent infection.

Choice D rationale

While physical therapy and exercises can be beneficial for children with spina bifida, performing range-of-motion exercises to the infant’s hips may not be necessary unless specifically recommended by a healthcare provider.

Correct Answer is ["6"]

Explanation

Step 1 is to set up the equation to solve for the unknown, which is the volume in mL. The equation is (300 mg ÷ 250 mg) × 5 mL.

Step 2 is to perform the calculation: (300 mg ÷ 250 mg) × 5 mL = 6 mL. So, the nurse should administer 6 mL of amoxicillin oral solution.

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When suctioning a child with a tracheostomy, what should the nurse do to maintain a patent airway and prevent complications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an infant who has spina bifida.Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is preparing to administer amoxicillin 300 mg PO. The amount available is amoxicillin oral solution 250 mg/5 mL. How many mL should the nurse administer?

Correct Answer is ["6"]

Explanation

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