Practice Quiz

CRNE Exam Prep

Category - Changes in Health

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Briana, a newlyhired nurse, is tasked with caring for female client who has an endotracheal tube in place. Suctioning is ordered, when needed. The nurse manager should intervene when Briana performs which of the following actions during suctioning?
  1. The client is hyperoxygenated with 100% oxygen before suctioning.
  2. The nurse applies suction only when withdrawing the catheter.
  3. The nurse suctions for 20 seconds before withdrawing.
  4. The nurse uses a catheter with a diameter less than 50% of the endotracheal tube diameter.
Explanation
Answer: C - The nurse manager should interfere if Briana suctions for more than 15 seconds. Suctioning for more than the recommended time may cause hypoxemia. The client should be hyperoxygenated with 100% oxygen before, during, and after the procedure. The suction is only used when withdrawing to minimize trauma. There is no recommended specific catheter size for suctioning. Using a catheter size that is 50% of the diameter of the tube is recommended.
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