Asked by AbdulAhad Nasir on Jun 19, 2024

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A patient with a tracheostomy tube has thick,tenacious mucus that is difficult to remove.The nurse should choose which technique to suction the airway?

A) Normal saline instillation (NSI) before suctioning
B) Dry suctioning 1 time followed by NSI with suctioning 2 more times
C) Dry suctioning as long as the heart rate is above 60 beats/min
D) Dry suctioning

Tenacious Mucus

A thick and sticky phlegm or secretion produced by the mucous membranes of airways, which is particularly difficult to clear.

Tracheostomy Tube

A tube inserted into a surgically created hole (tracheostomy) in the front of the neck and into the trachea to assist breathing.

Normal Saline Instillation

The process of introducing a salt water solution, usually isotonic to body fluids, into the body for medical purposes, such as cleansing or hydration.

  • Comprehend the fundamentals and techniques for executing nasotracheal and oropharyngeal suctioning in a safe manner.
  • Identify the signals for the need of suctioning in individuals with synthetic airways and the dangers tied to incorrect suctioning methods.
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Verified Answer

HB
hunter brownJun 25, 2024
Final Answer :
D
Explanation :
Normal saline instillation (NSI)into artificial airways is no longer recommended as standard practice.Clinical studies show that suctioning with or without NSI produces similar amounts of secretions and significant decreases in oxygen saturation.Potential side effects include increases in heart rate for 4 to 5 minutes after suctioning using NSI as opposed to dry suctioning.NSI has the potential to increase ventilator-associated pneumonia because bacteria from the upper airway can be dislodged to the lower airway.