Answer :
The nurse should preoxygenate the client, use gentle suction on catheter withdrawal, avoid saline instillation, and ensure the tracheostomy cuff is inflated during tracheal suctioning.
When performing tracheal suctioning for a client with a tracheostomy, the nurse should carry out several key actions to ensure the procedure is safe and effective. Firstly, it is crucial to preoxygenate the client before suctioning to prevent hypoxia. Secondly, gentle suctioning should be employed as the catheter is withdrawn, not as it is being inserted. Thirdly, one should avoid instilling saline to loosen secretions before suctioning, as this practice is no longer recommended due to lack of evidence for its efficacy and potential for causing harm. Finally, it is important to ensure that the cuff of the tracheostomy (if present and applicable) is inflated during suctioning to protect the airway and prevent aspiration of secretions above the cuff.
Final answer:
When performing tracheal suctioning, the nurse should preoxygenate the client, employ gentle suctioning, and deflate the cuff of the tracheostomy tube.
Explanation:
When performing tracheal suctioning for a client with a tracheostomy, the nurse would implement several actions to ensure the procedure is performed safely and effectively. One of these actions is preoxygenating the client before suctioning, which helps maintain adequate oxygenation during the procedure. Another important action is to employ gentle suctioning as the catheter is being inserted, as aggressive suctioning can cause trauma and damage to the trachea. Additionally, it is not necessary to instill saline to loosen secretions before suctioning, as this can increase the risk of infection. Finally, it is important to deflate the cuff of the tracheostomy tube during suctioning to allow the suction catheter to pass through the trachea without obstruction.
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