Difficulty: Medium
Average Score: 63%
Simulated
The nurse recognizes that the most appropriate reason to suction a client is that:
Correct answer
D
Rationale
The correct answer is D because gurgling respirations indicate potential airway obstruction, requiring immediate suctioning to clear the airway and prevent respiratory distress. Suctioning every 8 hours (A) is not based on the client's condition. Suctioning every hour (B) without a specific indication may cause harm. Client coughing and swallowing sputum (C) indicate a functioning airway.