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A client is diagnosed with Mycobacterium tuberculosis. He is placed in respiratory isolation, intubated, and receives mechanical ventilation. When performing suctioning, the nurse should:
A. Suction for a maximum of 20 seconds
B. Hyperoxygenate before and after suctioning
C. Suction for a maximum of 30 seconds
D. Maintain clean technique during suctioning
Correct Answer: B
Explanation/Reference:
Explanation:
(A) The maximum time for suctioning is 1015 seconds. (B) Supplemental O2should be administered before and after suctioning to reduce hypoxia. (C) The maximum time for suctioning is 1015 seconds. (D) Strict sterile technique should be used during suctioning.
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