An appropriate technique for artificial airway suctioning is to:

A. Apply clean gloves
B. Hyperinflate the client before suctioning
C. Maintain a high fraction of inspired oxygen
D. Continue to insert the suction catheter when the resistance at the carina is met


B
B. Hyperinflate and/or hyperoxygenate client before suctioning, using manual resuscitation bag-valve-mask connected to oxygen source or sigh mechanism on mechanical ventilator.
A. Apply sterile glove to each hand, or apply nonsterile glove to nondominant hand and sterile glove to dominant hand.
C. Preoxygenation converts large proportion of resident lung gas to 100% oxygen to offset amount used in metabolic consumption while ventilator or oxygenation is interrupted.
D. Usually the catheter meets resistance at the carina. One indication that the catheter is at the carina is acute onset of coughing because the carina contains many cough receptors. The catheter should be pulled back 1 cm (½ inch).

Nursing

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