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A nurse is caring for a client who requires oral suctioning. Which of the following should be implemented as part of the procedure to create suction?

A. After turning on the suction, advance the catheter approximately 6 inches into the client's mouth for suctioning.
B. Use sterile technique for suctioning.
C. Tell the client to take a deep breath and cough before starting the suction process.
D. Repeat suctioning 6 times to ensure adequacy.

Answer :

B: Use sterile technique for suctioning. Maintaining sterility is crucial to prevent the introduction of bacteria or infection into the client's airway.

This includes using sterile gloves, a sterile suction catheter, and maintaining proper hand hygiene throughout the procedure. Sterile technique helps minimize the risk of complications and promotes patient safety. Advancing the catheter approximately 6 inches into the client's mouth for suctioning is not recommended. The catheter should be inserted only as far as necessary to remove secretions and avoid causing trauma to the oral tissues. Telling the client to take a deep breath and cough before starting the suction process is not necessary for oral suctioning. This instruction is more relevant for procedures such as deep suctioning or endotracheal suctioning. Repeating suctioning 6 times is not a standard practice and can potentially cause harm to the client's airway and oral tissues.

Suctioning should be performed as needed to effectively clear secretions, while minimizing the duration and frequency to prevent tissue damage and discomfort.

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