A nurse is caring for a client who has a respiratory infection. Which of the following techniques should the nurse use when performing nasotracheal suctioning for the client?

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Acute Respiratory Care Nursing Questions Questions

Question 1 of 5

A nurse is caring for a client who has a respiratory infection. Which of the following techniques should the nurse use when performing nasotracheal suctioning for the client?

Correct Answer: B

Rationale: Apply intermittent suction when withdrawing the catheter. Suctioning continuously for more than 10 seconds can cause cardiopulmonary compromise. The nurse should insert the suction while the client is inhaling to avoid inserting into the esophagus, discard the suction catheter to eliminate the risk for infection, and the nurse should use her dominant hand with a sterile glove.

Question 2 of 5

A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. The client asks, 'What would happen if I arrived at the emergency department and I had difficulty breathing?' Which of the following responses should the nurse make?

Correct Answer: B

Rationale: We would give you oxygen through a tube in your nose. Oxygen can provide comfort and is not considered a resuscitative measure when the nurse delivers it via nasal cannula.

Question 3 of 5

A nurse is preparing to administer 0.9% sodium chloride 750 ml IV to infuse over 7 hr. The nurse should set the infusion pump to deliver how many ml/hr? (Round to nearest whole number)

Correct Answer: B

Rationale: 107 ml/hr. Calculation: 750 ml ÷ 7 hr = 107.14 ml/hr, rounded to 107.

Question 4 of 5

A nurse is preparing a change of shift report. Which of the following tools or documents should the nurse use to communicate continuity of care?

Correct Answer: B

Rationale: Situation, background, assessment, and recommendation.

Question 5 of 5

A home health nurse is performing a follow-up visit for a client who has a gastrostomy tube through which they receive intermittent feedings, and medications. The client has recently developed diarrhea. Which of the following findings should the nurse identify as a possible cause of the diarrhea?

Correct Answer: C

Rationale: The client’s caregiver washes out the feeding bag with warm water once every 24 hr. Feeding bags should be washed out after each feeding and replaced with a new feeding bag every 24 hr to prevent bacterial contamination.

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