A nurse is preparing to perform endotracheal suctioning for a client. The nurse should follow which of the following guidelines? (Select all that apply)

A. Apply suction while withdrawing the catheter.
B. Perform suctioning on a routine basis every 2-3 hours.
C. Maintain medical asepsis during suctioning.
D. Use a new catheter for each suctioning attempt.
E. Apply suction for 10 to 15 seconds.

The nurse performing endotracheal suctioning should apply suction while withdrawing the catheter, maintain medical asepsis throughout the process which includes using a new catheter each time, and should limit the suctioning duration to 10-15 seconds. Suctioning should be done as clinically indicated, not on a routine basis.

Explanation:

When a nurse is preparing to perform endotracheal suctioning for a client, they should follow several important guidelines to ensure the procedure is conducted safely and efficiently. They should:

Apply suction while withdrawing the catheter- This is designed to remove secretions without causing damage to the tracheal mucosa.
Maintain medical asepsis during suctioning - This is crucial as the procedure can introduce bacteria into the patient's respiratory tract, leading to infections.
Sterile technique is required, meaning a new catheter should ideally be used for each suctioning attempt. Suction duration should also be properly timed.
Suction should not be applied for more than 10 to 15 seconds as prolonged suctioning can lead to hypoxia.

Suctioning should not be performed on a routine basis (i.e., every 2-3 hours), but rather as needed based on the patient's clinical signs and symptoms.

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