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Which intervention is appropriate when suctioning a client through a tracheostomy tube?

  1. Apply suction continuously for 20 seconds.

  2. Hyperoxygenate the client before suctioning.

  3. Suction while the client inhales.

  4. Suction only when the client experiences coughing.

The correct answer is: Hyperoxygenate the client before suctioning.

Hyperoxygenating the client before suctioning is an appropriate intervention because suctioning can temporarily reduce the oxygen levels in the blood due to the disruption of airflow and potential airway irritation. Hyperoxygenation helps to ensure that the client maintains adequate oxygen saturation levels during the procedure. This practice is crucial, especially for patients with compromised respiratory function, as it minimizes the risk of hypoxia. By providing additional oxygen prior to suctioning, you prepare the patient's respiratory system to withstand the temporary loss of airflow and the potential increase in respiratory effort that may occur as a result of the suctioning process. This proactive step is standard practice in respiratory therapy to support the patient's overall respiratory status and comfort during suctioning.