What assessment finding indicates the effectiveness of suctioning a child's tracheostomy?

The effectiveness of suctioning a child's tracheostomy can be assessed by the presence of clear breath sounds. When secretions obstruct the airway, it can lead to various respiratory issues such as wheezing or diminished breath sounds, indicating that secretions may still be present. After successfully suctioning, the nurse should expect to hear clear breath sounds, signifying that the airways are open and unobstructed, allowing proper air exchange.

Clear breath sounds suggest that any accumulated secretions have been removed, and the air is flowing freely through the tracheostomy. This indicates effective intervention, as the goal of suctioning is to maintain airway patency and optimize respiratory function. While decreased respiratory rate and increased oxygen saturation may also be positive indicators of respiratory improvement, they are not direct measures of airway clearance. On the other hand, the presence of wheezing sounds would suggest ongoing obstruction or irritation, which underscores that suctioning was not entirely effective.