What is the appropriate technique for suctioning a tracheostomy tube?
Insert the suction catheter forcefully to clear all secretions from the tracheostomy tube.
Hyper-oxygenate the patient before and after, and limit each pass to 10 seconds or less.
Insert the suction catheter until it reaches the carina, then apply suction while withdrawing the catheter.
Apply suction continuously while inserting the suction catheter into the tracheostomy tube.
The Correct Answer is B
A. Forceful insertion can cause trauma to the airway mucosa.
B. Hyper-oxygenating the patient before and after suctioning helps prevent hypoxia, and limiting suctioning time to 10 seconds or less reduces mucosal damage and patient discomfort.
C. Suction should be applied only while withdrawing the catheter, not while inserting it.
D. Continuous suction during insertion increases the risk of mucosal injury; suction is applied intermittently during withdrawal only.
Nursing Test Bank
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Related Questions
Correct Answer is C
Explanation
A. The superior vena cava is a common site for central venous catheters but not where the Swan-Ganz catheter tip rests.
B. The aorta is part of the arterial system, and the Swan-Ganz catheter is not placed here.
C. The Swan-Ganz catheter is advanced through the right heart chambers and positioned in the pulmonary artery to measure pulmonary artery pressures and cardiac output.
D. The left ventricle is not accessible via venous catheterization and is not the placement site for a Swan-Ganz catheter.
Correct Answer is B
Explanation
A. Proper oral care actually reduces the risk of ventilator-associated pneumonia (VAP) by minimizing bacterial colonization in the mouth.
B. Oral care is essential to maintain hygiene, prevent infections like VAP, and promote patient comfort in patients with an ETT in place.
C. Oral care should be provided more frequently than once a day, often every 2 to 4 hours, to be effective.
D. Neglecting oral care in patients with an ETT increases the risk of complications, so it is definitely necessary.
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