The nurse suctions the patient's artificial airway. For which adverse effect related to suctioning should the nurse monitor during the procedure?
a. Fatigue
b. Anxiety
c. Coughing
d. Dysrhythmias
D
Artificial airways require airway suctioning, which poses risks such as cardiac dysrhythmias; laryngeal spasm; and bradycardia, which is associated with stimulation of the vagus nerve. Fati-gue can occur after suctioning because suctioning induces coughing and transient hypoxemia. Suctioning is often unsettling for patients because it takes the patient's breath away, literally, and usually induces coughing and gagging.
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