Deck 26: Suctioning

Question 1

Which client would be in particular need of a closed airway suctioning system?

A)The client post-bone marrow transplant
B)The postoperative client
C)The client with a long-term tracheostomy on 25% oxygen via mask
D)The client with excessive oral secretions

Answer 1

The client post-bone marrow transplant

Question 2

The nurse is choosing a suction catheter for a client with a 6 mm tracheostomy tube in place.Which size suction catheter would be the largest possible choice?

A)10 French
B)12 French
C)14 French
D)16 French

Answer 2

12 French

Question 3

Which airway could the nurse suction using clean technique?

A)Oropharyngeal
B)Endotracheal
C)Tracheostomy
D)Oral cavity

Answer 3

Oral cavity

Question 4

An unlicensed assistive personnel (UAP)could be safely entrusted to perform which type of suctioning?

A)Oral cavity suctioning
B)Nasotracheal suctioning
C)Endotracheal suctioning
D)Tracheostomy suctioning

Question 5

The nurse is conducting an in-service on the use of oropharyngeal airways.Which clients would benefit from the use of this type of airway?

A)A client who is coming out of general anesthesia
B)A client who has taken an overdose of narcotic medications
C)A client who suffered a traumatic brain injury
D)A client who requires permanent airway support
E)A client who requires mechanical ventilation

Question 6

The nurse is using a curved hard plastic tube to suction the client's oral cavity.Which term does the nurse use when referring to this piece of equipment?

A)Whistle-tipped catheter
B)Yankauer suction tube
C)Open-tipped catheter
D)Closed suctioning system

Question 7

The nurse is suctioning the adult client's airway using a closed system.Which suction pressure is appropriate for the nurse to use?

A)Up to 60 mmHg
B)Up to 80 mmHg
C)Up to 100 mmHg
D)Up to 120 mmHg

Question 8

The nurse is caring for a client who has sustained a closed head injury,resulting in lack of respiratory effort,2 weeks ago.Which airway would be appropriate for this client?

A)Oropharyngeal airway
B)Nasopharyngeal airway
C)Endotracheal tube
D)Tracheostomy

Question 9

Which nursing actions would reduce the risk of complications associated with suctioning?

A)Suctioning only as needed
B)Using sterile technique
C)Instilling normal saline to thin secretions
D)Choosing the correct catheter size
E)Lowering oxygen concentration

Question 10

Prior to suctioning,the nurse delivers breaths with greater tidal volumes than normal.When documenting this procedure,which term will the nurse use?

A)Hyperoxygenating
B)Hyperinflation
C)Hyperventilation
D)Hypoinflation

Question 11

The nurse hyperoxygenates and hyperventilates the client prior to suctioning which airway?

A)Oral cavity
B)Oropharyngeal
C)Nasopharyngeal
D)Endotracheal

Question 12

The nurse is caring for a client who had oromaxillary surgery a few hours ago.The client is arousable,but is still sedated following anesthesia,and sleeps deeply when not disturbed.The client's respiratory effort is adequate,but the nurse notes the client is having issues maintaining an open airway when asleep.Which airways would the nurse choose for this client?

A)Oropharyngeal airway
B)Nasopharyngeal airway
C)Endotracheal tube
D)Tracheostomy

Question 13

After suctioning the client's endotracheal tube,which item is not required in the documentation of this procedure?

A)Amount,color,and consistency of secretions
B)Client's response to suctioning
C)Number of catheter passes required to clear the airway
D)Breath sounds following suctioning

Question 14

After passing the catheter once to suction the client's oropharyngeal airway,which is the nurse's next step?

A)Hyperventilating the client
B)Flushing the suction catheter
C)Moistening the tip of the catheter with water-soluble lubricant
D)Performing hand hygiene