Special Considerations in Patient Assessment and Documentation
Special Considerations in Patient Assessment and Documentation ( 6 Questions)
A nurse is caring for a client who has a tracheostomy tube and requires suctioning.
Which of the following actions should the nurse take to prevent hypoxia during the procedure?
The nurse should apply suction for no longer than 10 seconds at a time, preoxygenate the client with 100% oxygen before suctioning, and limit the number of suction passes to three per session to prevent hypoxia during tracheostomy suctioning. These actions help to minimize the interruption of oxygen delivery and reduce the risk of mucosal trauma and bleeding.
All of the above
Rationale: The nurse should apply suction for no longer than 10 seconds at a time, preoxygenate the client with 100% oxygen before suctioning, and limit the number of suction passes to three per session to prevent hypoxia during tracheostomy suctioning. These actions help to minimize the interruption of oxygen delivery and reduce the risk of mucosal trauma and bleeding.
Incorrect options:
None