The nurses who is assessing the patient with an endotracheal tube recognizes that suctioning is required:
A) Every 2 hours
B) When adventitious breath sounds are auscultated
C) To prevent the patient from coughing
D) To stimulate the cough reflex
Ans: B
Feedback: It is usually necessary to suction the patient's secretions because of the decreased effectiveness of the cough mechanism. Tracheal suctioning is performed when adventitious breath sounds are detected or whenever secretions are present. Unnecessary suctioning, such as scheduling every 2 hours, can initiate bronchospasm and cause trauma to the tracheal mucosa.
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