A patient on mechanical ventilation with an endotracheal tube requires suctioning. A closed in-line catheter is in place. Which action by the nurse is appropriate?
a. Use manual ventilation to hyperoxygenate the patient with 100% oxygen via Ambu bag.
b. Push the catheter and slide the plastic sleeve back when the patient exhales.
c. Push the catheter in until resistance is felt or the patient coughs.
d. Apply suction for no longer than 30 seconds as you remove the catheter.
C
The catheter is pushed in while the plastic sleeve is slid back between the thumb and forefinger until resistance is felt or the patient coughs. Hyperoxygenation is done by adjusting the FiO2 setting on the ventilator. Manual ventilation is not recommended. The catheter is pushed in when the patient inhales. Suction is applied for no longer than 15 seconds.
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