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The nurse is suctioning a tracheostomy for a client who had the tracheostomy tube placed 3 days ago. Which is the correct procedure for suctioning at this time?

a) Suction for 20 seconds
b) Insert the suction catheter 5 cm beyond the tube
c) Apply suction while withdrawing the catheter
d) Suction the mouth before the tracheostomy

Answer :

The correct procedure for suctioning a tracheostomy, placed 3 days ago, is to apply suction while withdrawing the catheter, which avoids trauma and effectively removes secretions.

The correct procedure for suctioning a tracheostomy that was placed 3 days ago is to apply suction while withdrawing the catheter. This method minimizes the potential for trauma to the tracheal lining and helps ensure that secretions are effectively removed from the trachea. The suction should be applied intermittently and the catheter should not be inserted too far beyond the end of the tracheostomy tube to avoid injury. Additionally, hyperoxygenation before and after the procedure is critical to prevent hypoxemia. Therefore, the answer to the student's question would be (c) Apply suction while withdrawing the catheter.

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