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ANCC Medical-Surgical Nursing Exam Prep

Category - Medical-Surgical Nursing Practice Test

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The patient has a tracheostomy in the neurology ward. As part of your routine care, you will perform suctioning because of the presence of secretions. It is important to follow which correct technique?

  1. The suction pressure should be between 100 to 120 mmHg.
  2. Hyperoxygenate the client before and after suctioning.
  3. While advancing the suction catheter, occlude the Y-port of the catheter.
  4. Use intermittent suction in the airway for up to 20 seconds.
Explanation

Answer - B - Hyperoxygenate the client before and after suctioning. This action will help prevent hypoxia. The safe wall suction pressure range for an adult is 80 to 120 mmHg (120 to 150 mmHg with tubing occluded).

The nurse should advance the catheter into the tracheostomy without occluding the Y-port to minimize mucosal trauma and aspiration of the client’s oxygen. The nurse should use intermittent suction in the airway for up to 10 to 15 seconds.

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