NCLEX-PN Exam Practice

Category - Respiratory

What is the most appropriate nursing intervention if your patient’s heart rate drops during suctioning?
  1. Continue to suction.
  2. Limit suctioning to 15 seconds.
  3. Stop and reoxygenate the patient.
  4. Notify the physician.
Explanation
Answer: C - If the patient’s heart rate drops during suctioning, the nurse should stop and reoxygenate the patient before continuing suctioning. The nurse should monitor the patient closely during suctioning for any adverse side effects. If any side effects occur, the patient should be reoxygenated.
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