A patient requires suctioning via the nasotracheal

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Understanding Health Insurance: A Guide to Billing and Reimbursement
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Chapter 8 / Exercise 5
Understanding Health Insurance: A Guide to Billing and Reimbursement
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14. A patient requires suctioning via the nasotracheal route. In order to perform this procedure safely, the nurse should: a. apply suction while advancing the catheter into the airway. b. suction the nasotracheal passage after suctioning the mouth. c. hold the catheter with the dominant hand after donning sterile gloves. d. insert the nonlubricated catheter into the nasal passage. ANS: C The suction catheter should be held with the dominant hand after donning sterile gloves, because sterile technique must be adhered to when suctioning both the nasopharyngeal and tracheal areas.
DIF: Cognitive Level: Application REF: p. 525|Skill 28-5 OBJ: Clinical Practice #1 TOP: Suctioning KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control 15. The nurse recognizes that, immediately before a tracheotomy cuff deflation, the patient should:
DIF: Cognitive Level: Application REF: p. 529 OBJ: Clinical Practice #3 TOP: Tracheostomy KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Reduction of Risk 16. The nurse takes into consideration that while caring for a patient on oxygen therapy, safety precautions should be observed, which include:
DIF: Cognitive Level: Comprehension REF: p. 518 OBJ: Clinical Practice #5 TOP: Safety Precautions with Oxygen KEY: Nursing Process Step: Planning MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control 17. 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:
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Understanding Health Insurance: A Guide to Billing and Reimbursement
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Chapter 8 / Exercise 5
Understanding Health Insurance: A Guide to Billing and Reimbursement
Green
Expert Verified
d. clamp the chest tube and place the patient in high Fowler’s position. ANS: C Document findings. Constant bubbling in the suction chamber indicates that suction is on. DIF: Cognitive Level: Analysis REF: p. 521 OBJ: Clinical Practice #4 TOP: Coughing and Deep Breathing KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Basic Care and Comfort

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