Which nursing actions would reduce the risk of complications ...

[newbem]

Which nursing actions would reduce the risk of complications associated with suctioning?
 
  Select all that apply.
 
  1. Suctioning only as needed
  2. Using sterile technique
  3. Instilling normal saline to thin secretions
  4. Choosing the correct catheter size
  5. Lowering oxygen concentration

Question 2

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

[shoemake]

Answer to Question 1

Correct Answer: 1,2,4

Nursing actions that reduce the risk of complications associated with suctioning include suctioning only when needed, using sterile technique, and choosing the correct catheter size. Instilling normal saline is not recommended, as this would actually increase complications, not decrease them. Oxygen concentration should be increased, not decreased, in order to decrease the risk of complications associated with suctioning.

Answer to Question 2

Correct Answer: 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. 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.

[newbem]

Thank you

[shoemake]

Happy to help you