College

In what order should the nurse perform the actions to suction the airway of a client with a tracheostomy tube?

A. Hyperoxygenate the client, turn on the suction device and set the regulator at 80 mm Hg, place the client in a semi position, attach the suction tubing to the suction catheter, insert the catheter into the tracheostomy until resistance is met, and then pull it back 1 cm, apply intermittent suction and slowly withdraw the catheter while rotating it back and forth.

B. Hyperoxygenate the client, place the client in a semi position, turn on the suction device and set the regulator at 80 mm Hg, attach the suction tubing to the suction catheter, insert the catheter into the tracheostomy until resistance is met, and then pull it back 1 cm, apply intermittent suction and slowly withdraw the catheter while rotating it back and forth.

C. Turn on the suction device and set the regulator at 80 mm Hg, place the client in a semi position, attach the suction tubing to the suction catheter, hyperoxygenate the client, insert the catheter into the tracheostomy until resistance is met, and then pull it back 1 cm, apply intermittent suction and slowly withdraw the catheter while rotating it back and forth.

D. Place the client in a semi position, turn on the suction device and set the regulator at 80 mm Hg, attach the suction tubing to the suction catheter, hyperoxygenate the client, insert the catheter into the tracheostomy until resistance is met, and then pull it back 1 cm, apply intermittent suction and slowly withdraw the catheter while rotating it back and forth.

Answer :

The order in which the nurse performs the actions to suction the airway of a client with a tracheostomy tube is A. Hyperoxygenate the client, Turn on the suction device and set the regulator at 80 mm Hg, Place the client in a semi position, Attach the suction tubing to the suction catheter, Insert the catheter into the tracheostomy until resistance is met, and then pull it back 1 cm, Apply intermittent suction and slowly withdraw the catheter while rotating it back and forth

To suction the airway of a client with a tracheostomy tube, it is important to follow a specific sequence of actions to ensure the safety and effectiveness of the procedure.

Here is the correct order:

  1. Place the client in a semi-fowler’s position: This position helps facilitate better airway management and makes suctioning easier and safer for the client.

  2. Hyperoxygenate the client: Before suctioning, it is critical to provide supplemental oxygen to the client for about 2 minutes. This helps prevent hypoxia during the suctioning process since the procedure can reduce oxygen saturation temporarily.

  3. Turn on the suction device and set the regulator at 80 mm Hg: Adjusting the suction pressure before beginning the procedure ensures you are ready and helps avoid mistakes.

  4. Attach the suction tubing to the suction catheter: Connecting the equipment properly is necessary to perform the suctioning.

  5. Insert the catheter into the tracheostomy until resistance is met, and then pull it back 1 cm: This step is critical as it ensures that the suction catheter is at the correct depth to effectively remove secretions without causing trauma.

  6. Apply intermittent suction and slowly withdraw the catheter while rotating it back and forth: This method allows for the effective removal of secretions from the airway while minimizing trauma to respiratory tissues.