Before performing oral suctioning on an adult patient with a tracheostomy, which nursing action is most appropriate?
Correct answer: A. Assess breath sounds and oxygenation, then preoxygenate if needed
- A. Assess breath sounds and oxygenation, then preoxygenate if needed
- B. Give oral fluids to loosen secretions immediately
- C. Insert the catheter while applying continuous suction
- D. Place the patient flat to prevent coughing
Explanation
The nurse assesses the need for suctioning and oxygenation status, and preoxygenates when indicated because suctioning can worsen hypoxia. Suction is applied during withdrawal, and a flat position may impair airway protection and ventilation.
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About Oxygen Therapy and Airway Care
Airway care includes positioning, suctioning, coughing and deep-breathing exercises, incentive spirometry, oxygen delivery devices and humidification. Questions address indications, flow rates, safety precautions and monitoring for hypoxia or oxygen toxicity, while distinguishing nasal cannula, simple mask, non-rebreather mask and Venturi mask use.
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