P2W1 Post Test MS Rle 8

P2W1 POST TEST MS RLE 8/19/22
Total points18/30

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0 of 0 points
SECTION*
C-08
SURNAME, FIRST NAME*

FLORENTINO ANGELYN P
MULTIPLE CHOICE
17 of 26 points
What is the advantage of an eye or port in a catheter?*
1/1
It keeps the vacuum into high pressure.
It facilitates easy suctioning
It facilitates faster suctioning
It keeps the vacuum from harming mucosal during suctioning.
When should you perform suctioning?*

0/1
Every Morning
After every feeding
After giving medication
As needed
Why can suctioning cause bradycardia?*

1/1
Touching the mucosal wall with the catheter can stimulate the heart.
Touching the mucosal wall with the catheter can stimulate neighboring organ of the lungs.
Touching the carina with the catheter can stimulate the vagus nerve.
Touching the carina with the catheter can stimulate relaxation of the heart.
When suctioning is done, you should observe for the following in order to determine the
effectiveness of the therapy, EXCEPT:*
1/1
Improved blood pressure
Improved heart rate
Decreased oxygen saturation
Decreased work of breathing
How do we prevent hypoxemia in suctioning?*

1/1
Preoxygenate the patient at 100 percent O2 for 1 to 2 minutes.
Place the patient in a semi-Fowler’s position.
Position the patient on his back with the head and trunk raised to between 30 to 45 degrees
Place a linen or towel on the chest of the patient
What are the Risks and Hazards of Suctioning?*

1/1
Lung collapse
All of the above
Laryngospasm or bronchospasm
Changes in intracranial pressure
Feedback
Abnormal heart rhythm
Aspiration
Bleeding
Can stimulate the vagus nerve
Changes in intracranial pressure
Gagging/vomiting
Laryngospasm or bronchospasm
Lesions in tracheal mucosa
Low oxygen levels
Lung collapse
Mechanical trauma to the airway
Pain and other discomforts
Respiratory arrest
What is the best position of the patient for suctioning?*

1/1
Orthopneic Position
High Fowler's Position
Semi-Fowler's
Prone
What is a rigid tonsillar, or also known as a Yankauer. ?*

0/1
It’s a hard plastic catheter specifically for oropharynx suctioning.
It’s a soft flexible catheter specifically for nasopharynx suctioning.
It’s a soft flexible catheter specifically for oropharynx suctioning.
It’s a hard plastic catheter specifically for nasopharynx suctioning.
When suctioning, what should the assessment of outcome be?*

Improved breath sounds and removed secretions.
Increased work of breathing
Decreased oxygen saturation
Absence of chest movement
What is a Lukens trap?*

0/1
It is a aspirate trap that can be placed in a vacuum circuit to lessen sputum.
It is a aspirate trap that can be placed in a vacuum circuit to avoid aspiration precaution.
It is a serum trap that can be placed in a vacuum circuit to detect mucosal bleeding.
It is a specimen trap that can be placed in a vacuum circuit to collect sputum.
How can you perform an assessment of the need for suctioning?*

1/1
Auscultation and the patient’s effectiveness of cough.
Take the temperature of the patient
Check the Blood Pressure of the patient
Interview the patient and ask if there is a need for suctioning
What does a suction kit include?*

1/1
Sterile catheter
Gloves
Basin
All of the above
Sterile distilled water needs to be replaced how often?*

0/1
Every 24 hours
Every 48 hours
Every 72 hours
Every 96 hours
How far should you insert the catheter during suctioning?*

0/1
Whole length of the cather
8 to 10 inches or until the patient coughs.
8 to 10 inches or until the patient verbalized to stop
8 to 10 inches or until the patient expectorates secretions
What are the Indications for Suctioning a Patient?*

0/1
Presence of chest movement
Blood pressure fluctuations
Bradycardia
Presence of aspiration
Feedback
Normal, it should have been absent or decreased chest movement
What is Suctioning?*
1/1
Suctioning is a method of removing retained secretions or other semi-liquid fluids from the
patient’s airways.
It works via the application of positive pressure to the airways through a collecting tube or
catheter.
Access to the lower airways is performed with a sturdy and stiff suction catheter through the
nose or artificial airway.
Suctioning can be applied the upper airway only
What is a suction regulator?*

0/1
It reduces the high positive pressure to a tolerable level.
It reduces the high positive pressure to a manageable and safe physiological level.
It reduces the high negative pressure to a tolerable level.
It reduces the high negative pressure to a manageable and safe physiological level.
Patient monitoring during suctioning should include what?*

1/1
Skin color
Sputum
Bleeding or evidence of trauma
Patient subjective response
All of the above
Feedback
Breath sounds, skin color, breathing pattern and rate, pulse, rhythm, sputum, bleeding or evidence
of trauma, patient subjective response, cough, SPO2, and ICP (if available).
What Equipment is Needed for Suctioning?*

1/1
Goggles, mask, etc.
Connecting tubing
Pulse oximeter
Stethoscope
All of the above
Feedback
- Vacuum source
- Collection bottle
- Connecting tubing
- Disposable sterile gloves
- Sterile suction catheter
- Sterile water
- Goggles, mask, etc.
- Supplemental Oxygen source
- Pulse oximeter
- Stethoscope
- Sterile sputum trap
How can suctioning cause atelectasis ?*

1/1
None of the above
The catheter is too big and the suction pressure is top high.
The catheter is too small and the suction pressure is normal.
The catheter is too small or the suction pressure is low.
Which are NOT Contraindications for Suctioning?*

0/1
All of the above
Cerebral spinal fluid leak
Basal skull fractures
None of the above
Increased intracranial pressure
Epiglottitis or croup
Besides convenience, why is a closed suction system used?*

1/1
It does not involve attaching the suction catheter into a valve in the endotracheal tube
Patients need to be disconnected from the mechanical ventilator
It is primarily used as a faster and more convenient way to deep suction in a non- sterile
manner.
It is primarily used as a faster and more convenient way to deep suction in a sterile manner..
Feedback
It is primarily used as a faster and more convenient way to deep suction in a sterile manner. It also
helps to keep the patient’s VT, FIO2, and PEEP levels up. It is cheap and there is less
contamination.
Manual resuscitator flow should be set at what prior to suctioning?

1/1
1 to 5 L/min
5 to 10 L/min
10 to 15 L/min
None of the above
Equipment preparation for suctioning includes what, EXCEPT?*

1/1
Coverall
Manual resuscitator
Suction kit
Goggles or face mask
How long do we suction a patient for?*

1/1
The application of the vacuum should be no longer than 5 seconds.
The application of the vacuum should be no longer than 20 seconds.
The application of the vacuum should be no longer than half a minute.
The application of the vacuum should be no longer than 15 seconds .
What is the biggest hazard of suctioning?*

1/1
Pain and other discomforts
Gagging/vomiting
Hypoxia or hypoxemia
Bleeding
What is the Normal Suctioning Pressure?*

0/1
For infants, 100-120 mm/Hg
None of the above
For neonates, 120-150 mm/Hg
For children, 80-100 mm/Hg
For adults, 60-80 mm/Hg
Feedback
For adults, 120-150 mm Hg.
For children, 100-120 mm.
For infants, 80-100 mm Hg.
For neonates, 60-80 mm Hg.
ENUMERATION. Enumerate at least Four (4) contraindications for suctioning.

1 of 4 points
Enumerate at least Four (4) contraindications for suctioning.
3.*
1/1
Bleeding disorder
4.*
0/1
Facial injury or basal skull fracture
1.*
0/1
Severe hemodynamic instability
2.*
0/1
Bronchospasm
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P2W1 POST TEST MS RLE 8/19/22

SURNAME, FIRST NAME*

When should you perform suctioning?*

Why can suctioning cause bradycardia?*

How do we prevent hypoxemia in suctioning?*

What are the Risks and Hazards of Suctioning?*

What is the best position of the patient for suctioning?*

What is a rigid tonsillar, or also known as a Yankauer. ?*

When suctioning, what should the assessment of outcome be?*

What is a Lukens trap?*

How can you perform an assessment of the need for suctioning?*

What does a suction kit include?*

Sterile distilled water needs to be replaced how often?*

How far should you insert the catheter during suctioning?*

What are the Indications for Suctioning a Patient?*

What is a suction regulator?*

Patient monitoring during suctioning should include what?*

What Equipment is Needed for Suctioning?*

How can suctioning cause atelectasis ?*

Which are NOT Contraindications for Suctioning?*

Besides convenience, why is a closed suction system used?*

Manual resuscitator flow should be set at what prior to suctioning?

Equipment preparation for suctioning includes what, EXCEPT?*

How long do we suction a patient for?*

What is the biggest hazard of suctioning?*

What is the Normal Suctioning Pressure?*

ENUMERATION. Enumerate at least Four (4) contraindications for suctioning.

Facial injury or basal skull fracture

Severe hemodynamic instability

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