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

1. Apply suction while withdrawing the catheter.
2. Perform suctioning on a routine basis every 2 to 3 hours.
3. Maintain medical asepsis during suctioning.
4. Use a new catheter for each suctioning attempt.
5. Limit total suctioning time to five minutes.

When performing endotracheal suctioning a nurse should apply suction while withdrawing the catheter, maintain medical asepsis and use a new catheter for each suctioning attempt. Routine suctioning is not recommended unless clinically indicated and total suctioning time should be limited to prevent hypoxia.

Explanation:

In preparing to perform endotracheal suctioning for a client, a nurse should follow several guidelines. First, the nurse should apply suction while withdrawing the catheter. By applying suction while withdrawing, you avoid pushing any further debris down the airway.

Secondly, it is crucial to maintain medical asepsis during suctioning, which promotes a sterile field preventing the risk of contamination and the development of sepsis. To ensure this, surgical scrubs may be performed with or without the use of brushes, but always following the manufacturer's recommendations.

For each suctioning attempt, a new catheter should be used. By doing so, it prevents the transfer of microorganisms and hence reduces the risk of infection and the total suctioning time should be limited to prevent hypoxia. But the time should not exceed 2 minutes, instead of the suggested 5 minutes.

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