medium · NCLEX-RN Physiological Adaptation

The nurse is preparing to suction an intubated client with ARDS.

Which action is the most important to prevent derecruitment of the alveoli?

  1. Use a closed (in-line) suction system.
  2. Limit each suction pass to 30 seconds.
  3. Apply suction only while inserting the catheter.
  4. Instill 5 mL of sterile saline to loosen secretions before suctioning.

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