A nurse is suctioning the airway of a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following findings should the nurse identify as an indication that the suctioning has been effective?
Explanation & Rationale
A) Flattening of the artificial airway cuff: This may indicate issues with the cuff pressure or an air leak but does not directly reflect the effectiveness of suctioning. B) Decreased peak inspiratory pressure: This is the correct answer. A decrease in peak inspiratory pressure suggests that the airway is clearer, allowing for better airflow and indicating that the suctioning was effective in removing secretions that may have caused airway obstruction. C) Presence of a productive cough: While this can indicate the expulsion of secretions, it may not be a reliable measure of the effectiveness of suctioning in a mechanically ventilated patient, as they may not be able to cough effectively. D) Thinning of mucous secretions: While thinning secretions can be beneficial, it does not directly indicate that the suctioning itself was effective. The focus should be on airflow and pressure changes.