TRACHEOSTOMY

While changing the tapes on a tracheostomy tube, the client coughs and the tube is dislodged. Which is the initial nursing action?

• Call a respiratory therapist to reinsert the tracheotomy.

• Cover the tracheostomy site with a sterile dressing.

• Call the physician to reinsert the tracheotomy.

• Grasp the retention sutures to spread the opening.

A nurse is supervising a student nurse who is performing tracheostomy care for a client. Which of the following actions by the student should the nurse intervene?

• Removing the inner cannula and cleaning using universal precaution.

• Suctioning the tracheostomy tube before performing tracheostomy care.

• Changing the old tracheotomy ties and securing the tube in place.

• Replacing the inner cannula and cleaning the site of the stoma

A blocked tracheostomy tube is best recognized by which of the following?

• Observing desaturation on the oxygen saturation monitor

• Being unable to feel air being exhaled through the tracheostomy tube

• Hearing abnormal sounds coming from the child

• The inability to pass the suction catheter to the correct depth

Which of the following is not a potential complication of tracheostomy tube placement?

• Subcutaneous emphysema

• Airway obstruction

• Infection of the stoma site

• Increased partial pressure of oxygen

What should the tracheostomy stoma site be cleaned with?

• Povidone iodine

• Chlorhexidine gluconate

• 0.9% sterile saline solution

• Antimicrobial handwash

Which of the following would be a contraindication to tracheostomy tube placement?

• Coagulopathy

• A tracheal obstruction above the tracheostomy site

• Trauma

• Laryngeal paralysis

When suctioning a patient,what is the maximum amount of time allowed for it?

• 10 seconds

• 20 seconds

• 30 seconds

• No limits

Below are the ways that can help patient on tracheostomy tube to speak except?

• close the tracheostomy tube opening

• deflate the cuff

• inflate the cuff

• use fenestrated tube