ATI N103N103 Fundamentals Final Exam | Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Hyperventilate the client on 100% oxygen prior to suctioning. This is done to prevent hypoxemia during suctioning by increasing the oxygen levels in the client's blood. Hyperventilation with 100% oxygen helps to pre-oxygenate the client, reducing the risk of hypoxia. Proper oxygenation is crucial during suctioning to maintain oxygen levels and prevent complications. Performing this action first ensures the client's safety and minimizes potential adverse effects.

Summary:
A: Lubricating the suction catheter tip with sterile saline is important but should be done after hyperventilating the client on 100% oxygen.
B: Performing chest physiotherapy prior to suctioning may help mobilize secretions but is not the first priority.
D: Suctioning two to three times with a 60-second pause between passes is a correct technique but should be done after hyperventilating the client on 100% oxygen

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