Tracheostomy Care: Ensuring Safety and Comfort

What actions should a nurse take when suctioning a client's tracheostomy using an open system?

A) Sterilize the suction catheter before use

B) Apply suction while inserting the catheter

C) Limit suctioning to 5 seconds

D) Use a twisting motion during catheter removal

Answer:

When suctioning a tracheostomy using an open system, a nurse should sterilize the suction catheter, apply suction while inserting the catheter, limit suctioning to 5 seconds, and use a twisting motion during catheter removal.

Tracheostomy care is a crucial aspect of nursing practice, requiring attention to detail and adherence to best practices for patient safety. When suctioning a patient's tracheostomy using an open system, there are specific actions that a nurse must take to ensure the procedure is performed effectively and safely.

Sterilizing the suction catheter before use is essential to prevent infection and maintain a sterile environment when entering the patient's airway. Applying suction while inserting the catheter helps to effectively remove secretions and maintain a clear airway for the patient.

Limited suctioning to 5 seconds is important to prevent hypoxia and cardiac dysrhythmia, as prolonged suctioning can lead to adverse effects on the patient's respiratory and cardiovascular systems. Using a twisting motion during catheter removal ensures that all secretions are effectively cleared from the tracheostomy tube, preventing blockages and potential complications.

Each of these steps is critical in providing high-quality tracheostomy care and ensuring the safety and comfort of the patient throughout the procedure. By following these guidelines, nurses can effectively manage tracheostomy care and promote positive patient outcomes.