High School

A nurse is caring for a client who requires nasotracheal suctioning. Identify the sequence the nurse should follow to perform suctioning.

Options:

A. Assess, Position, Preoxygenate, Suction, Monitor
B. Preoxygenate, Position, Assess, Suction, Monitor
C. Position, Preoxygenate, Assess, Suction, Monitor
D. Assess, Preoxygenate, Position, Suction, Monitor

Answer :

Final answer:

The nurse should follow the sequence of assess, preoxygenate, position, suction, and monitor to perform nasotracheal suctioning.

Explanation:

The correct sequence the nurse should follow to perform nasotracheal suctioning is Option D) Assess, Preoxygenate, Position, Suction, Monitor.

  1. Assess: The nurse should assess the client to determine the need for suctioning, including evaluating their breathing and the presence of excessive secretions.
  2. Preoxygenate: Before suctioning, the nurse should provide the client with supplemental oxygen to ensure adequate oxygenation during the procedure.
  3. Position: The nurse should position the client with their head slightly hyperextended and turned to the side to facilitate suctioning.
  4. Suction: Using a sterile suction catheter, the nurse should insert it gently into the client's nasotracheal tube and apply suction while withdrawing the catheter.
  5. Monitor: After suctioning, the nurse should closely monitor the client for any complications or changes in condition, such as oxygen saturation levels or signs of respiratory distress.