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NCLEX Question of the Day
Review the question, check the correct answer, and read the rationale before tomorrow's prompt arrives.
A nurse is caring for a client with a tracheostomy. The nurse recognizes that suctioning is necessary when the client exhibits which of the following signs?
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Clear breath sounds
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Respiratory rate of 18 breaths per minute
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Correct answer Audible secretions and increased respiratory effort
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Oxygen saturation of 97%
Rationale
Audible secretions and increased respiratory effort indicate that the airway is obstructed by mucus and requires suctioning. The other options suggest that the client's airway is clear and that they are not currently experiencing respiratory distress.
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