Answer to Question 1
ANS: B
Suctioning should require no longer than 5 seconds per pass. Otherwise, the airway may be occluded for too long. An infant would be unable to cooperate with instructions to cough up secretions. The child is allowed to rest for 30 to 60 seconds after each aspiration to allow oxygen tension to return to normal. Then the process is repeated until the trachea is clear. The catheter should have a diameter one half the size of the tracheostomy tube. If it is too large, it might block the child's airway.
Answer to Question 2
ANS: C
The ventilator will do the work of breathing, but the nurse must position the child with attention to achieving optimum gas exchange. The reason for mechanical ventilation and the child's comfort are part of the assessment. Mechanical ventilation is usually achieved by intubation or tracheostomy. These routes bypass the humidification that occurs in the upper airway. The ventilator provides some information about the work of breathing, but patient assessment must be done by the nurse. Support and reassurance are always important for both the child and family. Opioids and anxiolytics are often used to decrease the child's anxiety. Careful assessment is indicated.
Critical thinking involves analysis in which the nurse examines patient data available from a variet
The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
The nurse needs to note the source of the patient health history
The Dederiyeh I infant from Syria preserves nearly the entire skeleton of a 17- to 19- month-old Nea
Imitation in an Infant
Correlations between scores on a psychology test and number of boiled kumquats eaten per month