The nurse is suctioning a client's trachea ineffectively. Which should the nurse implement to suction the client's trachea effectively?
1. Suction for at least 20-seconds.
2. Limit frequency of suctioning.
3. Suction during catheter insertion.
4. Pass catheter up to any resistance.
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4. The nurse passes the catheter until the catheter meets resistance; this usually sti-mulates a client cough. For effective suctioning, the nurse withdraws the catheter with activated suction to remove secretions.
1. The nurse generally limits suctioning to 10-second intervals or less to prevent postsuctioning hypoxemia.
2. The nurse suctions the client's oropharynx as needed; however, the nurse limits endotracheal or tracheostomy suctioning to two passes to prevent serious complica-tions including arrhythmias, decreased cardiac output, and increased intracranial pressure.
3. The nurse avoids suctioning during catheter insertion to limit the removal of in-spired oxygen and to prevent hypoxemia.
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