An advantage of the closed (in-line) system for suctioning of an ...

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An advantage of the closed (in-line) system for suctioning of an ET or tracheostomy tube is that:
 
  A. There are no complications of its use
  B. Longer periods of suctioning are allowed
  C. The artificial airway does not have to be disconnected
  D. The need to hyperinflate the client in advance is eliminated

Question 2

For an infant client, the guidelines for suctioning differ from an adult in that:
 
  A. Secretions are easier to remove
  B. Suctioning occurs in 5-second intervals
  C. Suctioning is done 2 to 3 cm beyond an artificial airway
  D. The suction catheter is two-thirds the diameter of a tracheostomy tube

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Answer to Question 1

C
C. Closed system or in-line suction catheter is connected to the artificial airway.
A. Reassess cardiopulmonary status, including pulse oximetry, to determine need for subsequent suctioning or complications.
B. Repeat one to two more times to clear secretions. Allow adequate time (at least 1 full minute) between suction passes for ventilation and reoxygenation.
D. Hyperinflate and/or hyperoxygenate client with bag-valve-mask or manual breathing mechanism on mechanical ventilator according to institution protocol and clinical status (usually 100 oxygen).

Answer to Question 2

B
B. Suctioning should require no more than 5 seconds.
A. Because of small diameter of suction catheter, thick secretions may be more difficult to remove.
C. Distance suctioned should not be greater than 0.5 cm beyond the tip of the artificial airway.
D. Small-diameter suction catheters required in pediatrics should be one-half the diameter of the child's tracheostomy tube.

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TYSM

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Excellent