A nurse performs tracheal suctioning in order to remove the liquid secretions of a client at a health care facility. What should the nurse do to ease the insertion of the tube below the client's larynx?
A) Advance the catheter 5 to 6 in. in the throat.
B) Occlude the air vent and rotate the catheter.
C) Advance the catheter 3 to 4 in. in the mouth.
D) Wait until the client takes a breath before advancing the tubing.
D
Feedback:
In order to ease the insertion below the larynx, the nurse should wait until the client takes a breath and then advance the tubing 8 to 10 in. (20 to 25 cm). Advancing the catheter 5 to 6 in. (12.5 to 15 cm) in the nose or 3 to 4 in. (7.5 to 10 cm) in the mouth places the distal tip in the pharynx. The nurse occludes the air vent and rotates the catheter as it is withdrawn in order to maximize the effectiveness of suctioning.
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