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NCLEX-PN

Category - Basic Care

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A nurse is assigned to care for a client with a tracheostomy. The nurse is aware that suctioning should be limited to no more than:

30 seconds
25 seconds
20 seconds
15 seconds

Explanation

Answer: D - The nurse should ensure that the time for suctioning should be limited to no more than 15 seconds. Suctioning greater than 15 seconds results in decreased oxygen supply to the brain, which may cause changes in the vital signs.

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