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The nurse is observing care being completed by unlicensed assistive personnel (UAP) . For which action should the nurse intervene?


A) Placing sterile water at the bedside
B) Suctioning a client's tracheostomy tube
C) Placing sterile single-use catheters at the bedside
D) Using a Yankauer catheter to suction a client's mouth

E) A) and C)
F) All of the above

Correct Answer

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B

A client with an endotracheal tube is being suctioned every hour with an open suction system. Which should the nurse identify as a disadvantage of using this system? Select all that apply.


A) Time it takes to suction
B) Cost for each catheter used
C) Increase in client hypoxemia
D) Increase in the volume of secretions
E) Need to wear personal protective equipment

F) B) and E)
G) B) and C)

Correct Answer

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B, C, E

The nurse hyperoxygenates a client before suctioning. Which parameter should the nurse document that indicates the client's oxygenation status after suctioning is adequate?


A) Lung sounds
B) Respiratory rate
C) Pulse oximeter measurement
D) Character of suctioned material

E) B) and C)
F) A) and C)

Correct Answer

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C

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