After suctioning a client with a tracheotomy, which sign indicates no further interventions are needed?

After suctioning a client with a tracheotomy, which sign indicates no further interventions are needed?

• A. Respiratory rate increases to 28 breaths/min
• B. Respiratory rate drops from 24 to 16 breaths/min
• C. Increased heart rate noted upon assessment
• D. Cyanosis observed on the lips

Answer: (B)

The indication that no further interventions are needed after suctioning a client with a tracheotomy is reflected when the respiratory rate drops from 24 to 16 breaths per minute. A decrease in the respiratory rate suggests an improvement in the client's respiratory status, indicating that their airway is clearer and they are able to breathe more effectively on their own. This reduction in respiratory effort typically follows successful suctioning, as it suggests that the airway was previously obstructed or compromised, leading to increased work of breathing and an elevated respiratory rate. In contrast, an increase in respiratory rate, such as rising to 28 breaths per minute, would suggest that the client is experiencing distress or difficulty in breathing, thereby indicating that further assessment or intervention may be necessary. An increased heart rate may also indicate stress or inadequate oxygenation, which could require further evaluation. Lastly, observed cyanosis on the lips signals inadequate oxygenation and is a critical sign that immediate attention is necessary to protect the client’s airway and ensure their safety. Therefore, a drop in respiratory rate to a more normal range indicates stability and suggests that the patient is likely recovering from whatever obstruction was present.

The indication that no further interventions are needed after suctioning a client with a tracheotomy is reflected when the respiratory rate drops from 24 to 16 breaths per minute. A decrease in the respiratory rate suggests an improvement in the client's respiratory status, indicating that their airway is clearer and they are able to breathe more effectively on their own. This reduction in respiratory effort typically follows successful suctioning, as it suggests that the airway was previously obstructed or compromised, leading to increased work of breathing and an elevated respiratory rate.

In contrast, an increase in respiratory rate, such as rising to 28 breaths per minute, would suggest that the client is experiencing distress or difficulty in breathing, thereby indicating that further assessment or intervention may be necessary. An increased heart rate may also indicate stress or inadequate oxygenation, which could require further evaluation. Lastly, observed cyanosis on the lips signals inadequate oxygenation and is a critical sign that immediate attention is necessary to protect the client’s airway and ensure their safety. Therefore, a drop in respiratory rate to a more normal range indicates stability and suggests that the patient is likely recovering from whatever obstruction was present.