COMP ONLINE PRACTICE TEST FOR RN EXAM 2020/2021

RN COMP ONLINE PRACTICE ATI A nurse is performing tracheostomy care for a client who is postoperative following a laryngectomy. Which of the following actions should the nurse take when suctioning the clients airway? Withdraw the catheter if the client begins coughing. Suctioning can initiate the cough reflex as it opens the airway further and allows for more effective removal of mucus. Apply suction for 10 seconds. 5. MY ANSWER The nurse should apply suction for only 5 to 15 seconds to minimize oxygen loss. Advance the catheter 2 cm (0.8 in) after resistance is met. Once resistance is met, the nurse should withdraw the catheter 1 to 2 cm (0.4 in to 0.8 in) to prevent damaging bronchial tissues. Use medical asepsis when performing the procedure. The nurse should use surgical asepsis when suctioning a newly created tracheostomy to reduce the risk for infection.