When assisting with the education of the family of a client with C4 quadriplegia on how to perform tracheostomy suctioning, which instruction should the nurse be sure to include?

1) Suction for 10 to 15 seconds at a time.
2) Regulate the suction machine to 300 cm suction.
3) Apply suction to the catheter during insertion only.
4) Pass the suction catheter into the opening of the tracheostomy tube 2 to 3 cm.

To perform tracheostomy suctioning correctly, suction should be applied for 10 to 15 seconds at a time, using a suction pressure that has been adjusted as per physician's orders and typically ranges between 100 and 150 mm Hg for adults. Hence, the correct answer is option 1.

Explanation:

When educating a family on how to perform tracheostomy suctioning for a client with C4 quadriplegia, it is essential to include correct suctioning techniques to maintain airway patency and prevent complications. The appropriate instruction to include is to suction for 10 to 15 seconds at a time. This ensures that the client's oxygenation is maintained and reduces the risk of hypoxia and other complications associated with prolonged suctioning. Adjustments to the suction pressure may also be necessary, typically set between 100 and 150 mm Hg for adults but dependent on the client's specific needs and physician's orders, which should always be verified.

Applying suction during the insertion of the catheter is not recommended as it can damage the tissue lining of the respiratory tract. The suction catheter should only be inserted 2 to 3 cm past the end of the tracheostomy tube to prevent damage to the tracheal tissues. Always use sterile technique during tracheostomy care to prevent infection.