The nurse is setting up the environment for tracheal suction on a newly postoperative tracheos-tomy patient. Which action(s) should the nurse perform? (Select all that apply.)
a. Auscultate lungs for retained secretions.
b. Wash hands and open sterile suction kit.
c. Don clean gloves and lift out catheter and connect to suction.
d. Inform the patient about the procedure.
e. Perform suction with sterile supplies.
A, B, D, E
The nurse should inform the patient about the procedure. The nurse should auscultate the lungs, wash hands, and open the sterile kit, and perform suction with sterile supplies. Sterile rather than clean gloves should be worn during the suctioning procedure.
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