College

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 inserting the catheter

b) Limit suctioning time to 15 seconds

c) Hyperoxygenate the client before and after suctioning

d) Insert the catheter without applying suction

Answer :

Final answer:

A nurse performing endotracheal suctioning should limit the suctioning time to 15 seconds, hyper oxygenate the client before and after the procedure, and apply suction only while withdrawing the catheter, not upon insertion.

Explanation:

When a nurse is preparing to perform endotracheal suctioning for a client, there are specific guidelines that should be followed to ensure the procedure is done safely and effectively. The correct guidelines to follow include:

  • Limit suctioning time to 15 seconds to prevent hypoxia and other complications.
  • Hyper oxygenate the client before and after suctioning to maintain adequate oxygen levels in the blood.
  • Insert the catheter without applying suction, and apply suction only while withdrawing the catheter to prevent tissue trauma.

Applying suction while inserting the catheter is not an appropriate technique, as it can cause harm to the client's tracheal mucosa and potentially lead to other complications.