(Select all that apply). A nurse is suctioning a tracheostomy tube for a patient. Which of the following actions are correct during the suctioning process?
Apply continuous suction while inserting the catheter.
Rinse the catheter with sterile saline between each attempt.
Limit suctioning attempts to three per session.
Withdraw the catheter gently while applying suction.
Correct Answer : B,C,D,E
Choice A rationale:
Applying continuous suction while inserting the catheter can cause trauma to the tracheal mucosa and increase the risk of bleeding and infection.
Choice B rationale:
Rinsing the catheter with sterile saline between each suctioning attempt helps maintain aseptic technique, preventing the introduction of microorganisms into the airway.
Choice C rationale:
Limiting suctioning attempts to three per session reduces the risk of hypoxia and mucosal damage, ensuring adequate oxygenation and preventing complications.
Choice D rationale:
Withdrawing the catheter gently while applying suction prevents damage to the tracheal walls and minimizes the risk of bleeding.
Choice E rationale:
Hyperoxygenating the patient before and after suctioning helps prevent hypoxemia during the procedure, reducing the risk of complications and ensuring adequate oxygenation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
A cuffed tracheostomy tube has an inflatable cuff that can create a seal in the trachea, but it also increases the risk of aspiration. In this case, the patient is at low risk of aspiration, so a cuffed tube is not the most suitable choice.
Choice B rationale:
An uncuffed tracheostomy tube lacks an inflatable cuff, which reduces the risk of aspiration. It allows air to flow freely around the tube and is appropriate for patients with a low risk of aspiration, making it the most suitable choice for this patient.
Choice C rationale:
A fenestrated tracheostomy tube has an opening in the posterior wall that allows airflow through the vocal cords, facilitating speech. However, since the patient is already speaking with a low risk of aspiration, a fenestrated tube may not be necessary or the best choice.
Choice D rationale:
A double-lumen tracheostomy tube is designed for independent lung ventilation during certain medical procedures and is not typically used for routine tracheostomy management. It would not be the most suitable choice in this scenario.
Choice E rationale:
Silicone tracheostomy tubes are made of a soft, flexible material that can reduce the risk of tissue damage and provide greater comfort. However, the material of the tracheostomy tube is not the primary consideration for a patient with a low risk of aspiration.
Correct Answer is A
Explanation
Choice A rationale:
A cuffed tracheostomy tube is most suitable for a patient who requires mechanical ventilation or has a high risk of aspiration. The cuff is inflated to create a seal between the trachea and the tube, preventing aspiration of oral secretions or gastric contents into the airway. This is crucial for patients on mechanical ventilation to ensure effective ventilation and prevent complications like ventilator-associated pneumonia.
Choice B rationale:
Uncuffed tracheostomy tubes do not have an inflatable cuff, making them unsuitable for patients who require mechanical ventilation or have a high risk of aspiration. They are more appropriate for patients who can protect their own airway and have minimal risk of aspiration.
Choice C rationale:
Fenestrated tracheostomy tubes have an opening or fenestration on the tube that allows airflow through the upper airway, bypassing the tracheostomy tube. These tubes are used for patients who are weaning off mechanical ventilation and require speech therapy. They are not the most suitable choice for patients who need mechanical ventilation or have a high aspiration risk.
Choice D rationale:
Double-lumen tracheostomy tubes have two separate tubes, which can be used for independent lung ventilation in certain situations. They are not specifically designed for patients requiring mechanical ventilation or with a high risk of aspiration.
Choice E rationale:
Metal tracheostomy tubes are not commonly used for patients requiring mechanical ventilation or with a high risk of aspiration. Metal tubes may be used in certain cases, but they are not the most suitable choice for this patient population.
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