The unit manager, who is orienting the new staff nurse, evaluates ...

[frankwu]

The unit manager, who is orienting the new staff nurse, evaluates which one of the following as an appropriate technique for nasotracheal suctioning?
 
  a. Placing the patient in a supine position
  b. Preparing for a clean or nonsterile technique
  c. Suctioning the oropharyngeal area first, and then the nasotracheal area
  d. Time taken for catheter passage to removal no longer than 15 seconds

Question 2

Dysphagia refers to difficulty when swallowing. Of the following causes of dysphagia, which is considered neurogenic?
 
  a. Myasthenia gravis
  b. Stroke
  c. Candidiasis
  d. Muscular dystrophy

[adammoses97]

Answer to Question 1

D

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A The patient should not be placed in a supine position; the patient is usually placed in a semi-Fowler's position. The patient's head is turned to the right to help the nurse suction the left mainstem bronchus, and the patient's head is then turned to the left to help the nurse suction the right mainstem bronchus.
B Nasotracheal suctioning is a sterile procedure.
C The nasotracheal area should be suctioned first, and then the oropharyngeal area. The mouth and pharynx contain more bacteria than does the trachea.
D For nasotracheal suctioning, the entire procedure from catheter passage to its removal should be done quickly, lasting no longer than 15 seconds.

Answer to Question 2

B
Stroke is the only cause of dysphagia in this list that is considered neurogenic. Myasthenia gravis and muscular dystrophy are considered myogenic in origin, whereas candidiasis is considered obstructive.

[frankwu]

Thanks for the timely response, appreciate it

[Sarahjh]

TYSM