NURSING EXAM QUESTIONS
MEDICAL SURGICAL NURSING
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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Perform suction up to 4 passes.
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Apply suction to the catheter when advancing it into the trachea
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Preoxygenate the client with 100% oxygen for up to 3 minutes
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Limit each suction pass to 25 seconds
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Detailed explanation-1: -Oxygen treatment is usually not necessary unless the SpO2 is less than 92%. That is, do not give oxygen if the SpO2 is ≥ 92%. Oxygen therapy (concentration and flow) may be varied in most circumstances without specific medical orders, but medical orders override these standing orders.
Detailed explanation-2: -Oropharyngeal suctioning may be delegated to appropriately trained NAP. It is inappropriate to delegate nasotracheal and endotracheal tube suctioning to NAP.
Detailed explanation-3: -What assessments would a nurse make when auscultating the lungs? If cardiovascular function is not adequate, the results will lead to impaired oxygenation; therefore, it is important to assess cardiovascular function when assessing respiratory function.