NCLEX-PN

6.​ Lubricate the Catheter: Apply a water-soluble lubricant to the tip of the suctioning catheter while maintaining strict sterile technique with your dominant hand. This lubrication helps facilitate the insertion of the catheter and minimizes trauma to the airway. 7.​ Insert and Rotate the Catheter: Carefully insert the lubricated catheter into the client's natural or artificial airway. The depth of insertion will depend on the type of airway and client factors. Gently rotate the catheter as you insert it to help dislodge and remove respiratory secretions. 8.​ Suction Secretions: Apply suction intermittently by using a twisting motion as you withdraw the catheter. Avoid applying suction continuously, as this can lead to hypoxia and tissue damage. Suction for no more than 10-15 seconds per pass. 9.​ Repeat as Necessary: If there are still secretions that need to be cleared, pause for a brief period to allow the client to rest and recover. Reoxygenate the client as needed before performing another suctioning pass. Repeat the suctioning procedure as necessary, ensuring that you maintain sterility and monitor the client's response throughout. 10.​Post-Suctioning Care: After completing the suctioning procedure, remove the catheter and dispose of it properly. Ensure the client's comfort, and monitor their respiratory status, oxygen saturation, and other vital signs. Document the procedure, including the amount and characteristics of the suctioned secretions, the client's response, and any complications or concerns. It's essential to follow proper infection control practices and maintain sterility throughout the suctioning procedure to prevent infections and complications. Suctioning should only be performed when clinically indicated, and the frequency and technique may vary based on the client's condition and the type of airway in use. Always prioritize the client's safety and comfort during suctioning. Monitoring Wounds for Signs of Infection In healthcare, monitoring wounds for signs of infection is a critical aspect of client care. Local signs of infection at a wound site include pain, redness, heat, swelling, and dysfunction of the affected body part. On the other hand, systemic signs and symptoms of infection involve the entire body and can include: ●​ Fever: An elevated body temperature is a common systemic sign of infection. It's the body's response to an invading pathogen. ●​ Fatigue: Infections can often make clients feel extremely tired and fatigued as the body diverts energy to fight the infection. ●​ Chills: Chills are the body's way of generating heat in response to an infection. They can lead to shivering and feeling cold. ●​ Diaphoresis: This refers to excessive sweating, which can occur during an infection as the body attempts to cool down during a fever.

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