In nursing, which actions are appropriate when performing open endotracheal suctioning for a client with a tracheostomy tube? Select all that apply.

A) Administers 100% oxygen prior to suctioning the client
B) Applies suction while withdrawing the catheter from the airway
C) Instills sterile normal saline into the tracheostomy prior to suctioning
D) Limits suctioning to 20 seconds during each suction pass
E) Uses sterile gloves and technique throughout the procedure

Appropriate actions for open endotracheal suctioning for a client with a tracheostomy tube include administering oxygen prior to suctioning, applying suction while withdrawing the catheter, and using sterile gloves and technique.

Explanation:

In performing open endotracheal suctioning for a client with a tracheostomy tube, the appropriate actions include: a) Administering 100% oxygen prior to suctioning the client, this increases oxygen saturation and reduces risk of hypoxemia during suctioning.

b) Applying suction while withdrawing the catheter from the airway, not while inserting it, to prevent hypoxia and tissue damage. e) Using sterile gloves and technique throughout the procedure to prevent infection.

Suctioning should not be limited to 20 seconds per pass (d). Instead, it should be performed for 10-15 seconds to prevent hypoxia. Instilling sterile saline (c) is also not recommended as it does not improve suctioning outcomes and can lead to complications like decreased oxygen saturation.

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