A nurse is caring for a client who has a tracheostomy and requires suctioning.
Which of the following actions should the nurse take?
A.Hyper oxygenate the client before suctioning
-The nurse should use a manual resuscitation bag to hyper oxygenate the
client for several minutes prior to suctioning.
B.Insert the catheter during exhalation
-incorrect: The nurse should insert the catheter during inhalation
C.Apply suction during insertion of the catheter
-incorrect: Applying suction while inserting the catheter increases the risk of
damage to the tracheal mucosa and removes oxygen from the airways.
D.Apply suction for no more than 15 secs
-incorrect: The nurse should apply suction for no more than 10 seconds
• A nurse is caring for a client who is exhibiting confusion. The nurse should
identify that which of the following laboratory values can cause confusion?
A.Sodium 123 mEq/L
-A sodium level of 123 mEq/L is below the expected reference range of 136 to
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