NU 311 CLINICAL NURSING SKILLS EXAM 4
(Latest Update ) Questions &
Answers {Grade A} 100% Correct
How to use an incentive spirometers - correct answer 1. Position patient in most erect
position (e.g., high-Fowler's if tolerated) in bed or chair.
2. Instruct patient to hold IS upright, exhale normally and completely through mouth,
and place lips tightly around mouthpiece
3. Instruct patient to take a slow, deep breath and maintain constant flow, like pulling
through a straw. If flow-oriented IS, inhalation should raise the ball. If volume-oriented
IS, inhalation should raise the piston. Remove mouthpiece at point of maximal
inhalation; then have patient hold his or her breath for 3 seconds and exhale normally.
4. Have patient repeat maneuver, encouraging him or her to reach prescribed goal.
5. Encourage patient to independently use IS at prescribed frequency.
,Chest physiotherapy - correct answer -Is external chest wall manipulation, which
includes one of a combination of or all of percussion, vibration, and postural drainage
(PD) therapy to loosen and remove secretions from patients' airways. Is usually
followed by productive coughing or suctioning to remove secretions.
How to perform CPT - correct answer 1. Help patient to desired position to drain
congested areas. Place pillows for support and comfort. Drape patient appropriately.
2. Have patient maintain position for 10 to 15 minutes.
3. After 10 to 15 minutes of drainage in selected postures, perform chest percussion
and vibration over affected lung region.
4. After 10 to 15 minutes of drainage in first posture, have patient sit up and cough. If
indicated, save expectorated secretions in clear container. If patient cannot cough,
suctioning is necessary
5. Have patient rest briefly if necessary between positions. Note pulse oximeter
readings.
,6. Have patient take sips of water.
7. Repeat Steps 3 to 8 until all affected areas selected are drained. Make sure that
each treatment does not exceed 30 to 60 minutes.
How to perform oropharyngeal suctioning - correct answer 1. Apply clean gloves.
Apply mask or face shield if splashing is likely. Wear gown if isolation precautions are
indicated.
2. Fill cup or basin with approximately 100 ml of water or normal saline.
3. Connect one end of connecting tubing to suction machine and other to Yankauer
suction catheter. Turn on suction machine; set vacuum regulator to appropriate setting
(infants 80-100 mm Hg; children 100-120 mm Hg; adults 100-150 mm Hg).
4. Check that suction machine is functioning properly by placing tip of catheter in water
or normal saline and suctioning small amount from cup or basin.
5. Remove patient's oxygen mask if present. Nasal cannula may remain in place. Keep
oxygen mask near patient's face.
, 6. Insert catheter into mouth along gum line to pharynx. Move catheter around mouth
until secretions have cleared. Encourage patient to cough. Replace oxygen mask.
7. Rinse catheter with water or normal saline in cup or basin until connecting tubing is
cleared of secretions. Turn off suction. Place catheter in clean, dry area.
8. Wash face if secretions are present on patient's skin.
9. Observe respiratory status. Repeat procedure if indicated. May need to use standard
suction catheter to reach into trachea if respiratory status not improved.
10. Remove towel, cloth, or disposable drape and place in trash or in laundry if soiled.
Reposition patient; Sims' or side-lying position encourages drainage and should be
used if patient has decreased level of consciousness.
11. Discard remainder of water or normal saline into appropriate receptacle. Rinse
basin in warm soapy water and dry with paper towels (check agency policy). Discard
disposable cup into appropriate receptacle.
(Latest Update ) Questions &
Answers {Grade A} 100% Correct
How to use an incentive spirometers - correct answer 1. Position patient in most erect
position (e.g., high-Fowler's if tolerated) in bed or chair.
2. Instruct patient to hold IS upright, exhale normally and completely through mouth,
and place lips tightly around mouthpiece
3. Instruct patient to take a slow, deep breath and maintain constant flow, like pulling
through a straw. If flow-oriented IS, inhalation should raise the ball. If volume-oriented
IS, inhalation should raise the piston. Remove mouthpiece at point of maximal
inhalation; then have patient hold his or her breath for 3 seconds and exhale normally.
4. Have patient repeat maneuver, encouraging him or her to reach prescribed goal.
5. Encourage patient to independently use IS at prescribed frequency.
,Chest physiotherapy - correct answer -Is external chest wall manipulation, which
includes one of a combination of or all of percussion, vibration, and postural drainage
(PD) therapy to loosen and remove secretions from patients' airways. Is usually
followed by productive coughing or suctioning to remove secretions.
How to perform CPT - correct answer 1. Help patient to desired position to drain
congested areas. Place pillows for support and comfort. Drape patient appropriately.
2. Have patient maintain position for 10 to 15 minutes.
3. After 10 to 15 minutes of drainage in selected postures, perform chest percussion
and vibration over affected lung region.
4. After 10 to 15 minutes of drainage in first posture, have patient sit up and cough. If
indicated, save expectorated secretions in clear container. If patient cannot cough,
suctioning is necessary
5. Have patient rest briefly if necessary between positions. Note pulse oximeter
readings.
,6. Have patient take sips of water.
7. Repeat Steps 3 to 8 until all affected areas selected are drained. Make sure that
each treatment does not exceed 30 to 60 minutes.
How to perform oropharyngeal suctioning - correct answer 1. Apply clean gloves.
Apply mask or face shield if splashing is likely. Wear gown if isolation precautions are
indicated.
2. Fill cup or basin with approximately 100 ml of water or normal saline.
3. Connect one end of connecting tubing to suction machine and other to Yankauer
suction catheter. Turn on suction machine; set vacuum regulator to appropriate setting
(infants 80-100 mm Hg; children 100-120 mm Hg; adults 100-150 mm Hg).
4. Check that suction machine is functioning properly by placing tip of catheter in water
or normal saline and suctioning small amount from cup or basin.
5. Remove patient's oxygen mask if present. Nasal cannula may remain in place. Keep
oxygen mask near patient's face.
, 6. Insert catheter into mouth along gum line to pharynx. Move catheter around mouth
until secretions have cleared. Encourage patient to cough. Replace oxygen mask.
7. Rinse catheter with water or normal saline in cup or basin until connecting tubing is
cleared of secretions. Turn off suction. Place catheter in clean, dry area.
8. Wash face if secretions are present on patient's skin.
9. Observe respiratory status. Repeat procedure if indicated. May need to use standard
suction catheter to reach into trachea if respiratory status not improved.
10. Remove towel, cloth, or disposable drape and place in trash or in laundry if soiled.
Reposition patient; Sims' or side-lying position encourages drainage and should be
used if patient has decreased level of consciousness.
11. Discard remainder of water or normal saline into appropriate receptacle. Rinse
basin in warm soapy water and dry with paper towels (check agency policy). Discard
disposable cup into appropriate receptacle.
