High School

Which of the following nursing actions should the nurse perform when suctioning a tracheostomy?

A. Withdraw catheter in a straight line while applying intermittent suction.

B. Insert tube 12-15 cm while suctioning.

C. Limit suction time to 10 seconds.

D. Oxygenate the client once all suctioning is completed.

Answer :

Final answer:

The correct nursing action when suctioning a tracheostomy is to limit suction time to 10 seconds and to oxygenate the patient before and between suctioning, not after all suctioning is completed.

Explanation:

When suctioning a tracheostomy, several key actions should be performed by nurses to ensure patient safety and the effectiveness of the procedure. One of the actions among the choices provided that should be carried out is limit suction time to 10 seconds (c). It is important to limit the suction time to prevent hypoxia and damage to the tracheal lining. Additionally, you should oxygenate the client before and between suctioning sessions to maintain proper oxygen levels rather than waiting until all suctioning is completed. To accurately perform suctioning, the nurse should insert the catheter without applying suction, and then apply intermittent suction while withdrawing the catheter in a rotating manner to avoid tracheal trauma