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The nurse is suctioning a patient with a tracheostomy tube. Which action will the nurse take?

1) Set the suction regulator at 150 to 200 mm Hg.
2) Limit the length of suctioning to 10 seconds.
3) Apply suction while gently rotating and withdrawing the catheter.
4) Liberally lubricate the end of the suction catheter with a water-soluble solution.

Answer :

Final answer:

When suctioning a patient with a tracheostomy tube, the nurse should set the suction regulator at 150-200 mm Hg, limit the length of suctioning to 10 seconds, apply suction while gently rotating the catheter, and lubricate the catheter with a water-soluble solution.

Explanation:

When a nurse is suctioning a patient with a tracheostomy tube, there are certain steps that must be taken to ensure that it is done safely and effectively. Firstly, the suction regulator should be set at around 150 to 200 mm Hg. This is to help prevent any damage to the delicate lung tissue caused by too high suction pressure.

Secondly, it is important to limit the length of suctioning to 10 seconds, as it will prevent hypoxia or lack of oxygen in patient's body due to prolonged suctioning. Also, applying suction while gently rotating and inserting the catheter helps to remove any secretions effectively.

Lastly, the nurse should liberally lubricate the end of the suction catheter with a water-soluble solution. This is to minimize any discomfort and to ensure a smooth insertion of the suction catheter into the patient's tracheostomy tube.

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