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Week 5 Nursing Conce

Week 5 Endotracheal Tube and Tracheostomy Tube Suctioning

QuestionAnswer
Endotracheal (ET) or tracheostomy tube suctioning is performed to maintain the patency of the artificial airway and prevent complications.
closed-suction technique, also referred to as in-line suctioning, involves attaching a sterile, closed, in-line suction catheter to the ventilator circuit.
A multiuse suction catheter inside a sterile plastic sleeve is inserted through a special diaphragm attached to the end of the ET or tracheostomy tube
While assessing a patient who is receiving mechanical ventilation through an ET tube, the nurse notes an increase in peak airway pressure and thick beige secretions. What is the most appropriate nursing action? Consider hyper-oxygenating the patient and then suction secretions from the patients airway using the closed system technique
The nurse is caring for a patient receiving mechanical ventilation. During open suctioning, the nurse notes a decrease in oxygen saturation from 95% to 85%. Before further suctioning attempts, what is the FIRST action the nurse should take? Stop suctioning and hyper-oxygenate the patient for 30 to 60 seconds.
A nurse is performing tracheal suctioning. Which action is essential to prevent hypoxemia during suctioning? Administer 100% oxygen before suctioning.
A patient with a tracheostomy tube is receiving mechanical ventilation. The nurse notes a decrease in the patient’s oxygen saturation, an increase in peak airway pressure, and frequent coughing episodes. What is the most appropriate nursing action? Hyperoxygenate the patient for 30 to 60 seconds by increasing the FIO2 on the ventilator to 100% and provide closed-system
During suctioning of secretions from a patient who is intubated, the patient develops cardiac arrhythmias, with an acute drop in oxygen saturation. What is the nurse’s priority in this situation? Discontinue suction and hyperoxygenate the patient using ventilator-supplied 100% oxygen.
The nurse has just completed a single suction pass for a patient with an artificial airway. What is the next priority nursing action? Reassess the patient to determine the effectiveness of the intervention.
Created by: Brandi Sizemore
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