Author Question: Which of the following conditions are complications of endotracheal suctioning? I. low vacuum ... (Read 45 times)

bb

  • Hero Member
  • *****
  • Posts: 544
Which of the following conditions are complications of endotracheal suctioning? I. low vacuum pressures II. elevated intracranial pressure III. derecruitment IV. loss of mentation
 
  A. I, III only
  B. II, III only
  C. II, IV only
  D. II, III, IV only

Question 2

The therapist has been asked to attempt to suction a patient's left mainstem bronchus. How should the therapist try to accomplish this task?
 
  A. Simply insert the suction catheter as usual with the hope of entering the left mainstem bronchus.
  B. Insert the suction catheter, and twirl it leftward while advancing the catheter downward.
  C. Use a closed-circuit suction catheter system because this type suction system favors left mainstem bronchus suctioning.
  D. Turn the patient's head to the right while advancing the suction catheter into the airway.



cupcake16

  • Sr. Member
  • ****
  • Posts: 309
Answer to Question 1

ANS: B
A. Incorrect response: See explanation B.
B. Correct response: Complications of ET suctioning include: (1) hypoxemia, (2) airway trauma, (3) cardiac dysrhythmias, (4) derecruitment, (5) bronchospasm, (6) airway contamination, (9) elevated intracranial pressure, and coughing. Some patients experience alveolar collapse during suctioning, especially when the vacuum pressure is applied too long. To minimize the occurrence of derecruitment, the therapist needs to apply vacuum pressure only during withdrawal of the suction catheter, and limit the procedure to 10 to 15 seconds.
A low vacuum pressure is not a complication of ET suctioning. Suctioning does not cause the patient to loose the ability to think.
C. Incorrect response: See explanation B.
D. Incorrect response: See explanation B.

Answer to Question 2

ANS: D
A. Incorrect response: Despite the chance of successfully entering the left mainstem bronchus with a suction catheter by employing the routine suction maneuver, the therapist must make a special attempt to accomplish this order, and not rely on chance.
B. Incorrect response: Inserting the suction catheter, and twirling it leftward while advancing the catheter downward will not accomplish the task of left mainstem bronchus entry any more than the maneuver performed in response A.
C. Incorrect response: A closed-circuit suction system has no more chance of performing left mainstem bronchus suctioning than does standard open suctioning.
D. Correct response: By turning the patient's head to the right, the angle of bifurcation at the carina for the left mainstem bronchus becomes somewhat less acute, thereby improving the likelihood of entering the left mainstem bronchus with a suction catheter.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

More than 20 million Americans cite use of marijuana within the past 30 days, according to the National Survey on Drug Use and Health (NSDUH). More than 8 million admit to using it almost every day.

Did you know?

Your skin wrinkles if you stay in the bathtub a long time because the outermost layer of skin (which consists of dead keratin) swells when it absorbs water. It is tightly attached to the skin below it, so it compensates for the increased area by wrinkling. This happens to the hands and feet because they have the thickest layer of dead keratin cells.

Did you know?

The term pharmacology is derived from the Greek words pharmakon("claim, medicine, poison, or remedy") and logos ("study").

Did you know?

One way to reduce acid reflux is to lose two or three pounds. Most people lose weight in the belly area first when they increase exercise, meaning that heartburn can be reduced quickly by this method.

Did you know?

More than 30% of American adults, and about 12% of children utilize health care approaches that were developed outside of conventional medicine.

For a complete list of videos, visit our video library