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The nurse is caring for a client with a tracheostomy who requires suctioning. Which of the following actions by the nurse would indicate correct technique?

A. Using a size 16 Fr catheter to suction the client.
B. Withdrawing the suction catheter 1 to 2 cm before applying suction.
C. Using 160 mm Hg of pressure when suctioning the client.
D. Applying suction to the catheter for 25 seconds during withdrawal.

Answer :

Final answer:

The correct technique for suctioning a client with a tracheostomy is to withdraw the catheter 1 to 2 cm before applying suction. The other options either suggest inappropriate sizes, excessive pressure, or prolonged suctioning time. Adhering to the correct techniques is crucial for patient safety and comfort.


Explanation:

Correct Suctioning Technique for Tracheostomy Patients


When caring for a client with a tracheostomy requiring suctioning, it is essential to follow correct techniques to ensure patient safety and effectiveness of the procedure. Below is an analysis of the given options:



  2. A. Using a size 16 Fr catheter to suction the client.
    This selection could potentially be inappropriate depending on the size of the tracheostomy tube and the patient’s airway. A more common catheter size is typically between 12 Fr to 14 Fr, depending on the patient's tracheostomy size.

  4. B. Withdrawing the suction catheter 1 to 2 cm before applying suction.
    This is correct practice. Withdrawing the catheter slightly ensures that suction is not applied while advancing the catheter into the airway, which could cause trauma or irritation.

  6. C. Using 160 mm Hg of pressure when suctioning the client.
    Using suction pressure of 120 to 150 mm Hg is generally recommended for adults. Thus, 160 mm Hg may be higher than acceptable and can cause discomfort or damage to the tissue.

  8. D. Applying suction to the catheter for 25 seconds during withdrawal.
    This duration of suctioning is excessive. Correct practice recommends applying suction only for about 10 to 15 seconds during withdrawal to minimize hypoxia and discomfort.


In conclusion, the action that indicates correct technique in this context is B: withdrawing the suction catheter 1 to 2 cm before applying suction. This helps to protect the patient's airway while ensuring effective suctioning.


Learn more about Suctioning Technique here:

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