The nurse is teaching the patient and family how to perform tracheal suctioning. What does proper technique include?
a. Teaching how to instill normal saline before suctioning
b. Suctioning the nasal and oral pharynx before the trachea
c. Encouraging daily brushing of the teeth and oral hygiene
d. Having the patient take two to three deep breaths after the procedure
D
At the conclusion of the procedure, have the patient take two to three deep breaths, and determine whether symptoms that necessitated suctioning are no longer present. Deep breathing reduces oxygen loss and prevents hypoxia. Expect the patient's respiratory status to improve after suctioning. Use of normal saline adversely affects arterial and global tissue oxygenation and dislodges bacterial colonies; therefore, this can contribute to lower airway contamination. After suctioning the patient, teach him to suction the nasal and oral pharynx, and give mouth care. Encourage the patient or family member to brush the teeth with a small, soft toothbrush 2 times a day, and to use mouth moisturizer and moisturize the lips every 2 to 4 hours.
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