The nurse is caring for a newborn with respiratory distress syndrome. The newborn has an endotracheal tube. Which statement describes nursing considerations related to suctioning?
A) Suctioning should not be carried out routinely.
B) Newborn should be in Trendelenburg position for suctioning.
C) Routine suctioning, usually every 15 minutes, is necessary.
D) Frequent suctioning is necessary to maintain patency of bronchi.

Question

Quizplus · Accepted Answer

Suctioning is not an innocuous procedure and can cause bronchospasm, bradycardia, hypoxia, and increased ICP. It should never be carried out routinely. The Trendelenburg position should be avoided. This position can contribute to increased ICP and reduced lung capacity from gravity pushing organs against diaphragm. Routine suctioning is avoided because of the potential complications of bronchospasm, bradycardia, hypoxia, and increased ICP.

The Nurse Is Caring for a Newborn with Respiratory Distress