Answer :
Final answer:
The nurse uses intermittent suctioning in tracheostomy suctioning. Using sterile technique and rotating the catheter when withdrawing are also important.
Explanation:
The technique that the nurse uses to suction a client's tracheostomy depends on the specific needs of the client and the healthcare facility policies.
However, out of the given options:
Routinely instilling sterile normal saline before suctioning: This is not a common technique as it can increase the risk of infection.
Applying suction when inserting the catheter: This technique is incorrect as suction should only be applied when withdrawing the catheter.
Suctioning the client every hour: This frequency may not be necessary for all clients, and the suctioning should be performed based on the client's condition and the healthcare provider's orders.
Using sterile technique when suctioning: This is a crucial technique to prevent infections. Sterile gloves, catheters, and suctioning equipment should be used.
Rotating the catheter when withdrawing: This technique should be used to ensure all areas of the tracheostomy are suctioned, especially if there is secretion buildup.
Using intermittent suctioning: This is the most common technique used in tracheostomy suctioning. The nurse applies suction intermittently while withdrawing the catheter to remove secretions effectively.
Remember, it is important to follow the specific guidelines and protocols provided by the healthcare facility and the healthcare provider.
