Common complication of sedating a patient prior to intubation

Laryngectomy tubes are not changed after suctioning. RATIONALE: Sterile normal saline is the solution of choice for instillation into a tracheostomy tube cannula to help liquefy sticky secretions.The suction catheter should be about half the diameter of the tube; a larger-diameter suction catheter would interfere with airflow during the procedure. Normal saline solution is less irritating to mucous membranes than plain water, dilute hydrogen peroxide, or bacteriostatic water. Bacteriostatic water can irritate the mucous membranes.The client should receive 100% oxygen between suctionings.

Low socioeconomic status is a predisposing factor in cervical cancer but not laryngeal cancer.

Coughing by a client does not necessarily indicate when to begin or stop suctioning.

NURSING PROCESS STEP: Implementation CLIENT NEEDS CATEGORY: Physiological integrity CLIENT NEEDS SUBCATEGORY: Physiological adaptation****************************** -- QUESTION NUMBER _ 1010 _ about (MC) QUESTION: "After suctioning a client's tracheostomy tube, the nurse waits a few minutes before suctioning again.

NURSING PROCESS STEP: Implementation CLIENT NEEDS CATEGORY: Physiological integrity CLIENT NEEDS SUBCATEGORY: Reduction of risk potential****************************** -- QUESTION NUMBER _ 1008 _ about (MC) QUESTION: "To more easily remove thick, tenacious secretions when suctioning a tracheostomy, the nurse should liquefy the secretions before suctioning by instilling the tracheostomy tube with 1 to 2 m L of sterile:" CHOICES ( X ) a.) Water. The nurse may cleanse the area around a laryngectomy stoma with an applicator moistened with diluted hydrogen peroxide; care should be taken that no solution enters the stoma because it irritates the respiratory mucosa.

NURSING PROCESS STEP: Implementation CLIENT NEEDS CATEGORY: Physiological integrity CLIENT NEEDS SUBCATEGORY: Reduction of risk potential****************************** -- QUESTION NUMBER _ 1009 _ about (MC) QUESTION: "While suctioning a client's laryngectomy tube, the nurse should insert the catheter :" CHOICES ( X ) a.) About 1 to 2 inches. ( O ) c.) Until resistance is met, then withdraw it 1 to 2 cm. RATIONALE: The proper suctioning technique is to insert the suction catheter until resistance is met, withdraw the catheter 1 to 2 cm, then begin applying intermittent suction while withdrawing the catheter.

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