Nursing Elites

1. A client has a tracheostomy and requires suctioning. Which of the following actions should be taken?

• A. Hyperoxygenate the client before suctioning
• B. Insert the catheter while exhalation
• C. Apply suction after inserting the catheter
• D. Limit suctioning to no more than 15 seconds

Correct answer: A

Rationale: Hyperoxygenating the client before suctioning is crucial to prevent hypoxia during the procedure. By using a manual resuscitation bag with 100% oxygen, the nurse should provide several breaths to the client to ensure sufficient oxygenation before starting suctioning. This approach helps maintain oxygen levels and decreases the risk of hypoxia, which may arise when suctioning interrupts the normal respiratory process. Choices B, C, and D are incorrect because inserting the catheter during exhalation, applying suction while inserting the catheter, and limiting suctioning to 15 seconds do not address the priority of hyperoxygenating the client to prevent hypoxia.

2. Which of the following techniques should be used to insert an indwelling urinary catheter for a female client?

• A. Use sterile technique.
• B. Insert the catheter 2-3 inches into the urethra.
• C. Inflate the balloon after insertion.
• D. Lubricate the catheter tip before insertion.

Correct answer: D

Rationale: Lubricating the catheter tip before insertion is crucial for female urinary catheterization. This step helps reduce discomfort for the patient and facilitates smooth catheter insertion into the urethra. Using sterile technique maintains asepsis during the procedure, inserting the catheter 2-3 inches ensures proper placement, and inflating the balloon after insertion secures the catheter in place without causing trauma. Proper technique is fundamental for patient comfort, preventing infection, and ensuring the success of the catheterization procedure.

3. A healthcare professional is preparing to perform nasotracheal suctioning for a client. Which of the following actions should the healthcare professional take?

• A. Suction during inhalation.
• B. Apply intermittent suction during insertion.
• C. Place the client in a supine position.
• D. Insert the catheter while the client is inhaling.

Correct answer: D

Rationale: Inserting the catheter while the client is inhaling helps to align the trachea and vocal cords, reducing the risk of trauma to the respiratory tract. This technique also facilitates easier passage of the catheter into the trachea, enhancing the effectiveness of the suctioning procedure.

4. A healthcare provider is planning care for a client who has a latex allergy. Which of the following actions should the healthcare provider include in the plan?

• A. Use latex gloves without powder.
• B. Place a sign on the client's door.
• C. Apply latex gloves before donning gloves.
• D. Avoid using latex equipment.

Correct answer: B

Rationale: Placing a sign on the client’s door is crucial in alerting healthcare providers to the client's latex allergy, helping them avoid using latex products, which can trigger an allergic reaction. This precaution can prevent accidental exposure and ensure the client's safety during care. Choices A, C, and D are incorrect. Using latex gloves without powder (Choice A) is a good practice, but the question is specifically asking about an action related to the client's latex allergy, not the healthcare provider's protection. Applying latex gloves before donning gloves (Choice C) is unnecessary and could exacerbate the client's latex allergy. Avoiding using plastic equipment (Choice D) is not related to preventing exposure to latex, which is the primary concern in this scenario.

5. A healthcare professional is preparing to administer an intradermal injection. Which of the following actions should the professional take?

• A. Use a tuberculin syringe.
• B. Insert the needle at a 45-degree angle.
• C. Use a 1-inch needle.
• D. Aspirate before injecting.

Correct answer: A

Rationale: When administering an intradermal injection, a tuberculin syringe is the appropriate choice due to its small size and precise measurement markings, which are essential for accurately delivering the medication into the dermis layer of the skin. Using a 1-inch needle (choice C) is more common for subcutaneous injections, while inserting the needle at a 45-degree angle (choice B) is typical for intramuscular injections. Aspirating before injecting (choice D) is not necessary for intradermal injections, as the goal is to deliver the medication into the dermis rather than a blood vessel.

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