Answer:
When suctioning the secretions of a client with a tracheostomy, the following nursing actions are important:
Maintain sterile technique to prevent infection: Use a sterile suction catheter and sterile gloves while suctioning the secretions.
Monitor oxygen saturation: Monitor the client's oxygen saturation before, during, and after suctioning to detect any oxygen desaturation or hypoxia.
Assess for signs of distress: Observe the client's breathing and listen for any wheezing or other abnormal breath sounds during suctioning. If the client shows any signs of distress, stop suctioning and provide oxygen as needed.
Limit suctioning time: Limit suctioning time to no more than 10-15 seconds to prevent hypoxia and trauma to the airway.
Provide oral care: Provide oral care before and after suctioning to prevent infection and dryness of the mouth and throat.
Document the procedure: Document the date, time, and results of the suctioning procedure, as well as the client's response to the procedure.
All of the nursing actions mentioned are important when suctioning the secretions of a client with a tracheostomy, and they should be carried out in conjunction with one another. However, maintaining sterile technique is particularly important, as it helps prevent infection in the client's airways. Sterile technique involves using sterile gloves, sterile suction catheters, and maintaining cleanliness and hand hygiene throughout the suctioning procedure. Therefore, it is crucial for the nurse to prioritize maintaining sterile technique during tracheostomy suctioning to prevent the risk of infection.