Which client would be in particular need of a closed airway suctioning system?

Question

1. The client post-bone marrow transplant
2. The postoperative client
3. The client with a long-term tracheostomy on 25% oxygen via mask
4. The client with excessive oral secretions

Answer 1

1
Rationale 1: The client who is post-bone marrow transplant has a reduced immune response, and would be at greatest risk if pathogens were introduced into the airway, so the closed system would be of particular importance with this client.
Rationale 2: The postoperative client does not have an immune system that is as depressed as the bone marrow client.
Rationale 3: Closed airway suctioning systems are usually used only with clients requiring mechanical ventilation, so they would not be appropriate for the client receiving oxygen via mask.
Rationale 4: Closed airway suctioning systems are usually used only with clients requiring mechanical ventilation, so they would not be appropriate for the client with excessive oral secretions.
Global Rationale: The client who is post-bone marrow transplant has a reduced immune response, and would be at greatest risk if pathogens were introduced into the airway, so the closed system would be of particular importance with this client. The postoperative client does not have an immune system that is as depressed as the bone marrow client. Closed airway suctioning systems are usually used only with clients requiring mechanical ventilation, so they would not be appropriate for the client receiving oxygen via mask or the client with excessive oral secretions.