A client who is being mechanically ventilated has copious amounts ...

[Alainaaa8]

A client who is being mechanically ventilated has copious amounts of secretions ranging from thick and tenacious to frothy. In preparing to suction this client, the nurse should take which action?
 
  1. Hyperventilate the client using the settings on the mechanical ventilator.
  2. Hyperventilate the client using a manual resuscitator.
  3. Avoid hyperventilation, but instill normal saline into the endotracheal tube.
  4. Avoid hyperventilation and increase the oxygen to 100 for several breaths.

Question 2

The nurse is planning the care of a client who has need for frequent suctioning. What should the nurse delegate to the UAP?
 
  1. Both oral and tracheal suctioning
  2. Only oral suctioning
  3. Only tracheal suctioning
  4. Neither oral nor tracheal suctioning

[allisonblackmore]

Answer to Question 1

Correct Answer: 4
Rationale 1: Hyperventilating the client will likely serve to force secretions back into the respiratory tract.
Rationale 2: Hyperventilating the client will likely serve to force secretions back into the respiratory tract.
Rationale 3: There is no need to instill normal saline into the tube of a client with copious frothy secretions.
Rationale 4: The nurse should avoid hyperventilation and should increase the oxygen to 100 for several breaths prior to initiating suction. Hyperventilating a client who has copious secretions can force the secretions deeper into the respiratory tract.

Answer to Question 2

Correct Answer: 2
Rationale 1: The suctioning of the oral cavity is a nonsterile procedure and can be delegated to the UAP. Tracheal suctioning is a sterile procedure that requires client assessment and should not be delegated to the UAP.
Rationale 2: The suctioning of the oral cavity is a nonsterile procedure and can be delegated to the UAP.
Rationale 3: Tracheal suctioning is a sterile procedure that requires client assessment and should not be delegated to the UAP.
Rationale 4: The suctioning of the oral cavity is a nonsterile procedure and can be delegated to the UAP. Tracheal suctioning is a sterile procedure that requires client assessment and should not be delegated to the UAP.

[Alainaaa8]

Gracias!

[nguyenhoanhat]

TYSM