26- THROAT (TRACHEOSTOMY)

A patient with a new tracheostomy develops subcutaneous emphysema. Which nursing intervention should be implemented FIRST?

• Remove the tracheostomy tube

• Notify the physician immediately

• Increase humidification

• Change the tracheostomy dressing

During tracheostomy suctioning, a patient becomes bradycardic. What is the most appropriate immediate nursing action?

• Continue suctioning to clear secretions

• Withdraw the catheter and allow patient to rest

• Administer supplemental oxygen

• Call for emergency assistance

A nurse is assessing a patient with a new tracheostomy. Which finding requires immediate intervention?

• Pink tissue around the stoma

• Small amount of clear secretions

• Cuff pressure of 35 cmH2O

• Occasional coughing

When performing tracheostomy care, the maximum time for the suctioning procedure should not exceed:

• 5 seconds

• 10 seconds

• 15 seconds

• 20 seconds

A patient with a tracheostomy suddenly becomes anxious and shows signs of respiratory distress. Which should be the nurse's first action?

• Administer anti-anxiety medication

• Check tracheostomy tube placement

• Start oxygen therapy

• Call the rapid response team

Which of the following is NOT a typical indication for a tracheostomy?

• Airway obstruction due to a tumor

• Long-term mechanical ventilation

• Acute pneumonia

• Severe sleep apnea

In the care of a tracheostomy patient, ensuring the humidity of the environment is crucial to prevent:

• Tracheal stenosis

• Formation of mucus plugs

• Subcutaneous emphysema

• Skin irritation around the stoma

Which equipment is essential at the bedside of a patient with a tracheostomy?

• Pulse oximeter

• An extra tracheostomy tube of the same size

• Endotracheal tube

• Nasal cannula

A patient with a tracheostomy complains of difficulty breathing and the nurse notices the cuff is deflated. What should the nurse do next?

• Call the physician immediately

• Inflate the cuff with prescribed volume

• Reposition the patient

• Suction the tracheostomy tube

How often should tracheostomy care be performed to ensure cleanliness and prevent infection?

• Once a day

• Twice a day

• Every shift or more frequently if needed

• Once a week