The client who is being mechanically ventilated has copious amounts of secretions ranging from thick and tenacious to frothy. In preparing to suction this client the nurse should:
1. Hyperventilate the client using settings on the mechanical ventilator.
2. Hyperventilate the client using a manual resuscitator.
3. Avoid hyperventilation, but instill normal saline into the endotracheal tube.
4. Avoid hyperventilation and increase the oxygen to 100% for several breaths.
Correct Answer: 4
Rationale 1: Hyperventilating the client will likely serve to force secretions back into the respiratory tract.
Rationale 2: Hyperventilating the client will likely serve to force secretions back into the respiratory tract.
Rationale 3: There is no need to instill normal saline into the tube of a client with copious frothy secretions.
Rationale 4: The nurse should avoid hyperventilation and should increase the oxygen to 100% for several breaths prior to initiating suction.
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