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NUR 306 Test 2- Ch 41 Question and answers verified to pass
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NUR 306 Test 2- Ch 41 Question and answers verified to pass The nurse is preparing to perform nasotracheal suctioning on a patient. Arrange the steps in order. 1. Apply suction 2. Assist patient to semi-Fowler's or high Fowler's position, if able 3. Advance catheter through nares and into tr...

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  • November 19, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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NUR 306 Test 2- Ch 41 Question and
answers verified to pass
The nurse is preparing to perform nasotracheal suctioning on a patient.
Arrange the steps in order.
1. Apply suction
2. Assist patient to semi-Fowler's or high Fowler's position, if able
3. Advance catheter through nares and into trachea
4. Have patient take deep breaths
5. Lubricate catheter with water-soluble lubricant
6. Apply sterile gloves
7. Perform hand hygiene
8. Withdraw catheter - correct answer ✔7, 2, 6, 4, 5, 3, 1, 8


Which skills can the nurse delegate to assistive personnel (AP)?
(Select all that apply.)
1. Initiate oxygen therapy via nasal cannula
2. Perform nasotracheal suctioning of a patient
3. Educate the patient about the use of an incentive spirometer
4. Assist with care of an established tracheostomy tube
5. Reposition a patient with a chest tube - correct answer ✔4, 5


The nurse is caring for a patient with pneumonia. On entering the room, the
nurse finds the patient lying in bed, coughing, and unable to clear secretions.
Which should the nurse do first?
1. Start oxygen at 2 L/min via nasal cannula
2. Elevate the head of the bed 45 degrees

, 3. Encourage the patient to use the incentive spirometer
4. Notify the health care provider - correct answer ✔2


The nurse is performing discharge teaching for a patient with chronic
obstructive pulmonary disease (COPD). What statement, made by the patient,
indicates the need for further teaching?
1. "Pursed-lip breathing is like exercise for my lungs and will help me
strengthen my breathing muscles."
2. "When I am sick, I should limit the amount of fluids I drink so that I don't
produce excess mucus."
3. "I will ensure that I receive an influenza vaccine every year, preferably in
the fall."
4. "I will look for a smoking-cessation support group in my neighborhood." -
correct answer ✔2


Which assessment findings indicate that the patient is experiencing an acute
disturbance in oxygenation and requires immediate intervention? (Select all
that apply.)
1. SpO2 value of 95%
2. Retractions
3. Respiratory rate of 28 breaths per minute
4. Nasal flaring
5. Clubbing of fingers - correct answer ✔2, 3, 4


The nurse caring for a patient with an artificial airway. What are reasons to
suction the patient? (Select all that apply.)
1. The patient has visible secretions in the airway
2. There is a sawtooth pattern on the patient's EtCO2 monitor
3. The patient has clear breath sounds

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