The nurse is providing nasotracheal suctioning for a 13-year-old ...

[Caiter2013]

The nurse is providing nasotracheal suctioning for a 13-year-old patient with secretions in the throat and trache
 
  a. Which action by the nurse demonstrates proper technique?
  a. Applying sterile petroleum jelly to the distal tip of the suction catheter
  b. Applying clean gloves to both hands
  c. Inserting the suction catheter 6 to 8 inches during inspiration
  d. Suctioning the pharynx first and then the trachea

Question 2

Which sign or symptom of airway compromise may require insertion of an oral airway?
 
  a. Ability of the patient to speak
  b. Ability of the patient to cough forcefully
  c. Presence of wheezing between coughs
  d. Presence of gurgling with the respiratory cycle

[tuwy]

Answer to Question 1

C
In older children, the suction catheter is inserted about 16 to 20 cm or 6 to 8 inches. The catheter is always inserted during inspiration. The catheter should be lubricated with water-soluble lubricant to avoid lipid aspiration pneumonia from a petroleum-based gel. The procedure requires sterile gloves, at least on one hand. The trachea should be suctioned before the pharynx because the mouth and the pharynx contain more bacteria than the trachea.

Answer to Question 2

D
Identify the need to insert an oral airway. Signs and symptoms include upper airway gurgling with breathing, absence of a gag reflex, increased oral secretions, excessive drooling, grinding of teeth, clenched teeth, biting of the orotracheal or gastric tube, labored respirations, and increased respiratory rate. These conditions place the patient at risk for obstruction of the upper airway. Normal response shows no evidence of airway obstruction or compromise. Wheezing may be present as a symptom of allergy but not necessarily of airway obstruction.

[Caiter2013]

Gracias!

[dreamfighter72]

Thanks for the timely response, appreciate it