We appreciate your visit to A nurse is preparing to suction a client s tracheostomy tube Which of the following actions should the nurse plan to take A Apply intermittent. This page offers clear insights and highlights the essential aspects of the topic. Our goal is to provide a helpful and engaging learning experience. Explore the content and find the answers you need!
Answer :
A nurse preparing to suction a tracheostomy tube should hyperoxygenate the patient for 30 to 60 seconds before suctioning, apply intermittent suction during catheter withdrawal, limit suctioning to 10 to 15 seconds per pass, and reassess oxygen supply if saturation levels drop. Option C is correct.
When a nurse is preparing to suction a client's tracheostomy tube, the correct approach includes several steps to ensure patient safety and effectiveness of the procedure. First and foremost, the nurse should hyperoxygenate the client manually for 30 to 60 seconds before suctioning to ensure the client has sufficient oxygen levels before the suctioning begins.
Secondly, it is important to apply intermittent suction during catheter withdrawal, not during insertion. Additionally, the duration for suctioning the client's airway should not exceed 10 to 15 seconds per pass to prevent hypoxia and potential damage to the airway lining. If the oxygen saturation level drops during suctioning, the nurse may need to reassess the situation and potentially increase the oxygen supply, rather than decreasing suction pressure.
Hence, C. is the correct option.
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The nurse should decrease suction pressure to 150 mm Hg if the oxygen saturation level drops during suctioning. Option d is Correct.
During tracheostomy suctioning, it's important to monitor the patient's oxygen saturation levels to avoid hypoxia (low oxygen levels). If the oxygen saturation level drops during suctioning, it may indicate that the suction pressure is too high. In this case, the nurse should decrease the suction pressure to 150 mm Hg.
Intermittent suction during catheter insertion, suctioning the client's airway for 20 sections with each pass, and hyperoxygenation of the client manually for 30 to 60 sections before suctioning are not appropriate steps for suctioning a tracheostomy tube. Option d is Correct.
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