Which of the following methods can help to reduce the likelihood ...

[jparksx]

Which of the following methods can help to reduce the likelihood of atelectasis due to tracheal suctioning?
 
  1. Limit the amount of negative pressure used.
  2. Hyperinflate the patient before and after the procedure.
  3. Suction for as short a period of time as possible.
  a. 1 and 2 only
  b. 1 and 3 only
  c. 2 and 3 only
  d. 1, 2, and 3

Question 2

While suctioning a patient, you observe an abrupt change in the electrocardiogram waveform be-ing displayed on the cardiac monitor. Which of the following actions would be most appropriate?
 
  a. Change to a smaller catheter and repeat the procedure.
  b. Stop suctioning and immediately admin-ister oxygen.
  c. Stop suctioning and report your findings to the nurse.
  d. Decrease the amount of negative pressure being used.

[xiaomengxian]

Answer to Question 1

ANS: D
Atelectasis can be caused by removal of too much air from the lungs. You can avoid this compli-cation by (1) limiting the amount of negative pressure used, (2) keeping the duration of suction-ing as short as possible, and (3) providing hyperinflation before and after the procedure.

Answer to Question 2

ANS: B
If any major change is seen in the heart rate or rhythm, immediately stop suctioning and admin-ister oxygen to the patient, providing manual ventilation as needed.

[jparksx]

Thank you

[xiaomengxian]

No problemo