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Answer :
Final answer:
Tracheal suctioning requires monitoring oxygen saturation, heart rate, blood pressure, potentially administering a bronchodilator, and applying suction while withdrawing the catheter for safe and effective airway clearance.
Explanation:
When performing tracheal suctioning, various assessments and interventions should be considered by the nurse. The correct responses to the multiple-choice question are:
- Assessing oxygen saturation before and after suctioning.
- Monitoring heart rate and blood pressure during suctioning.
- Administering a bronchodilator before suctioning if prescribed and indicated for the patient.
- Applying suction while withdrawing the catheter to effectively clear the airway.
These steps are crucial for ensuring the safety and effectiveness of the suctioning procedure. Assessing oxygen saturation with a pulse oximeter helps to gauge if the patient has adequate oxygenation and to track any changes that occur due to the suctioning. Monitoring heart rate and blood pressure provides information about the patient's physiological response to the procedure. If there is an indication, a bronchodilator may be administered before suctioning to open the airways. The technique of applying suction while withdrawing the catheter is the standard methodology to remove secretions.
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