High School

A staff nurse is observing a newly licensed nurse suction a client's tracheostomy. Which of the following requires intervention by the staff nurse?

A. Waits 2 minutes between suctions.
B. Encourages the client to cough during suctioning.
C. Applies suctioning for 15 seconds.
D. Inserts the catheter without applying suction.

Answer :

Final answer:

The staff nurse should intervene when the newly licensed nurse waits 2 minutes between suctions.

Explanation:

In this scenario, the staff nurse should intervene when the newly licensed nurse waits 2 minutes between suctions. Waiting 2 minutes between suctioning can lead to oxygen deprivation and hypoxia in the client. The nurse should instead suction the client as needed, and should not exceed 10-15 seconds of suctioning at a time.

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