During suctioning through a tracheostomy tube, the client begins to cough and wheeze. What should the nurse do first?

When a client begins to cough and wheeze during suctioning through a tracheostomy tube, the first action by the nurse should be to disconnect the suction source from the catheter. This is crucial because continuing to suction while the client is exhibiting signs of respiratory distress can further irritate the airway and potentially worsen the situation.

Disconnecting the suction source allows the client to take in air more freely and helps prevent hypoxia or further trauma to the airway. It is important to stop suctioning immediately when adverse symptoms arise, which indicates that the airway might be obstructed or that the procedure is causing discomfort.

Once the suction source is disconnected, the nurse can then assess the situation further, considering the next appropriate steps, such as administering bronchodilators if needed or providing reassurance and support to help the client regain their composure. This approach prioritizes the client’s immediate safety and comfort before addressing possible subsequent interventions.