NCLEX-PN

●​ Closed airway suctioning is preferred when the client receives supplemental oxygen to prevent hypoxia during suctioning. ●​ Suctioning should be done as quickly as possible to avoid client anxiety and hypoxia. Confirming Proper Endotracheal Tube Placement ●​ Various methods are used to validate endotracheal tube placement, including capnography, chest x-rays, breath sound auscultation, esophageal detection devices, and observing chest rise and fall symmetrically. Managing Airway Obstruction for Tracheostomy Tubes ●​ Deflate the cuff if the catheter cannot be passed into the airway. ●​ Attempt to advance the suction catheter with the cuff deflated. If it still encounters resistance, a mucous plug may be obstructing the airway. ●​ Remove the inner cannula of the tube and address the mucous plug if necessary. Maintaining tube patency is a critical nursing responsibility to ensure safe and effective client care. Implementing Precautions to Prevent Injury and Complications in Procedures and Diagnoses In healthcare, specific precautions are often employed to safeguard clients from injuries and complications associated with certain procedures or diagnoses. These precautions are crucial for ensuring client safety and well-being. Here are some examples of such precautions: Semi Fowler's Position for Continuous Tube Feedings ●​ Clients receiving continuous tube feedings are positioned in a semi Fowler's position, typically at an angle of at least 30 degrees. ●​ This positioning helps prevent aspiration, ensuring that the feeding solution enters the stomach rather than the respiratory tract. Cast Application for Extremity Fractures ●​ After applying a cast for an extremity fracture, clients are closely monitored for compartment syndrome. ●​ Clients are advised not to exert pressure on the cast until it has fully dried to prevent denting, which can lead to circulatory and neurological complications. Preoperative NPO Status If a client with a tracheostomy tube experiences a partial or complete airway obstruction:

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