A client with a tracheostomy is exhibiting audible secretions and a respiratory rate of 28 breaths per minute. Which is the BEST action for the nurse to perform during tracheostomy suctioning?
Apply suction while inserting the suction catheter to remove secretions effectively.
Insert the suction catheter to ensure secretions are cleared from the tracheostomy tube.
Insert the suction catheter without applying suction, then apply suction while withdrawing the catheter.
Omit hyperoxygenation before suctioning to manage the client's oxygen level appropriately.
The correct answer ensures safe and effective suctioning. Suction should be applied only while withdrawing the catheter to prevent damage to the mucosa and minimize the risk of oxygen desaturation. Applying suction while inserting the catheter may cause trauma or push secretions further into the airway. Repeated catheter insertions should be avoided unless absolutely necessary, as they can irritate the trachea and increase complications. Hyperoxygenation prior to suctioning is critical to maintaining adequate oxygen levels during the procedure.
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Why is suction applied only while withdrawing the suction catheter?
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NCLEX RN
Physiological Integrity
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