A practical nurse (PN) is preparing to perform open tracheostomy suctioning for a stable adult client. In what order should the PN perform the following actions to reduce the risk of hypoxia and airway trauma? Arrange the steps in the correct chronological sequence.
- 1Assess the client's baseline respiratory rate, breath sounds, and oxygen saturation.
- 2Hyperoxygenate the client using a manual resuscitation bag or oxygen delivery device.
- 3Insert the sterile suction catheter into the tracheostomy tube without applying suction.
- 4Apply intermittent suction while gently rotating and withdrawing the catheter.
- 5Reassess the client's respiratory status to evaluate the effectiveness of the intervention.
Cevap
The correct sequence for tracheostomy suctioning is: Assess baseline respiratory status, hyperoxygenate the client, insert the catheter without suction, apply intermittent suction during withdrawal, and finally reassess the respiratory status.
Safe tracheostomy suctioning follows a strict protocol to mitigate risks such as hypoxia and tissue trauma. The process begins with a baseline assessment to ensure the procedure is necessary and to provide comparative data. Next, hyperoxygenation is mandatory to build the client's oxygen reserve. The catheter is then carefully inserted without suction to protect the delicate tracheal mucosa. Active, intermittent suction is applied only while withdrawing the catheter (typically for 10 seconds or less) to safely clear the secretions. Finally, a post-procedure reassessment is conducted to ensure the intervention was successful and the client has stabilized.
Adım Adım Çözüm
Anahtar Kavram
Airway Management and Hypoxia Prevention