A client's tracheostomy tube is accidentally extubated. The nurse ...

[washai]

A client's tracheostomy tube is accidentally extubated. The nurse should immediately:
 
  A. Call the physician
  B. Mechanically ventilate the client
  C. Reinsert a new tube
  D. Hold the stoma open with the fingertips

Question 2

An appropriate step for the nurse to take when providing tracheostomy care is:
 
  A. Suctioning the client after the procedure
  B. Removing the old ties before applying the new ones
  C. Rinsing the inner cannula with hydrogen peroxide and then with saline
  D. Cleansing the inside of the outer cannula toward the stoma site

[matt95]

Answer to Question 1

C
C. Accidental decannulation: Replace old tracheostomy tube with new tube. Some experienced nurses or respiratory therapists may be able to quickly reinsert tracheostomy tube. Keep spare tracheostomy tube of same size and kind at bedside in event of emergency replacement.
A. Notify physician after reestablishing airway.
B. Be prepared to manually ventilate clients in whom respiratory distress develops.
D. Reinsert tracheostomy tube. Keep spare tracheostomy tube of same size and kind at bedside in event of emergency replacement.

Answer to Question 2

C
C. While touching only the outer aspect of the tube, remove the inner cannula with nondominant hand. Drop inner cannula into hydrogen peroxide basin. Hold inner cannula over basin, and rinse with normal saline, using nondominant hand to pour normal saline.
A. Perform hand hygiene, and apply gloves and face shield if applicable. Suction tracheostomy.
B. If working without an assistant, do not cut old ties until new ties are in place and securely tied.
D. Using dry 4  4 inch gauze, pat lightly at skin and exposed outer cannula surfaces.

[washai]

Thanks for the timely response, appreciate it

[Jossy]

TYSM