Performing Suction on a Client with a Tracheostomy: Proper Procedure and Safety Measures

What action should a nurse take when performing suction on a client with a tracheostomy?

A: Insert the catheter until coughing or resistance is felt
B: Reenter the tracheostomy after suctioning the mouth
C: Turn the wall suction to 150 mmHg
D: Withdraw the catheter while continuously suctioning

Answer:

The nurse should withdraw the catheter while continuously suctioning to properly perform the procedure on a client with a tracheostomy.

When performing suction on a client with a tracheostomy, it is essential to follow the proper procedure to ensure safety and effectiveness. The correct action to take is to withdraw the catheter while continuously suctioning (option D).

This approach helps to clear the airway by effectively removing secretions without causing damage to the tracheostomy site. It is crucial not to insert the catheter beyond the site of resistance or coughing to prevent trauma.

Throughout the procedure, it is important to continuously monitor the client's respiratory status, oxygen saturation levels, and other vital signs. Proper documentation of the procedure, including the amount and character of secretions removed and the client's response, is also necessary for accurate record-keeping and assessment.

By following these guidelines and maintaining vigilance during the suctioning process, nurses can ensure the well-being of clients with tracheostomies and promote a safe and effective outcome.