A practical nurse is caring for a newly born infant who has audible mucus secretions. In which order should the nurse use the bulb syringe to clear the newborn's airway? Arrange the following actions in the correct sequence.
- 1Compress the bulb of the syringe completely.
- 2Place the tip of the syringe into one side of the newborn's mouth.
- 3Release the compressed bulb slowly to draw up secretions.
- 4Remove the syringe and expel the collected secretions onto a designated tissue.
- 5Repeat the suctioning procedure for the newborn's nares.
Cevap
The correct sequence for clearing a newborn's airway with a bulb syringe is to compress the bulb first, suction the side of the mouth, release the bulb to draw up secretions, empty the syringe, and finally suction the nares.
When using a bulb syringe to clear a newborn's airway, the nurse must compress the bulb before insertion to avoid pushing secretions deeper. The mouth is suctioned before the nose (remember 'M before N') to prevent the newborn from gasping and aspirating oral secretions if the nares are stimulated first. The tip is placed in the side of the mouth (cheek pocket) to prevent triggering the gag reflex or a vagal response.
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Newborn Airway Clearance (Bulb Syringe Technique)