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.
Mother gorilla with 10-day-old infant
Testing Visual Fields by Confrontation: The nurse and patient should be approximately at an eye to e
The stages of labor and delivery. (A) During the dilation stage the cervix thins and dilates to 10 c
Chinese workers on a railway in the far West. “Without them,” Leland Stanford, president of the Cent
Place the infant faceup on a soft surface, such as a towel, and remove his or her clothing. With one ...
Infant and Toddler Development and Responsive Program Planning: A Relationship-Based Approach