A nurse is prioritizing care for a client. Which of the following procedures should the nurse perform first?
A.
Endotracheal suctioning
B.
Urinary catheter care
C.
Enteral feeding
D.
Wound Irrigation
The correct answer and Explanation is :
The nurse should prioritize endotracheal suctioning (Option A) first. Here’s why:
Endotracheal suctioning is the process of removing secretions from the airway of a patient who has an artificial airway, such as an endotracheal tube. This procedure is critical for maintaining a patent airway and ensuring adequate oxygenation and ventilation. Secretions that accumulate in the airway can lead to obstruction, reduced oxygen levels, and increased risk of infection, which can severely impact the patient’s respiratory status and overall health.
Urinary catheter care (Option B), while important, generally does not require immediate intervention unless there is a sign of infection or obstruction. It is crucial for preventing complications such as urinary tract infections (UTIs) and maintaining proper catheter function, but it is not as urgent as ensuring that the airway is clear.
Enteral feeding (Option C) is essential for providing nutrition to patients who cannot eat by mouth. However, it is less urgent compared to securing the airway. Proper enteral feeding is important for the patient’s nutritional status and recovery but can typically be managed after addressing more critical needs.
Wound irrigation (Option D) is important for wound care and preventing infection. It is essential for promoting healing and managing wound health, but like urinary catheter care and enteral feeding, it is not as immediately critical as addressing a compromised airway.
In summary, securing and maintaining a clear airway is the highest priority in nursing care because it directly affects the patient’s ability to breathe and survive. Endotracheal suctioning ensures that the patient can breathe effectively, which is why it should be performed before other procedures when prioritizing care.