When preparing to cap the client's tracheostomy tube with a ...

[bcretired]

When preparing to cap the client's tracheostomy tube with a speaking valve, which nursing action is not appropriate before placing the valve?
 
  1. Suctioning the oropharynx if there are any secretions present
  2. Asking the client to cough
  3. Suctioning the tracheostomy tube
  4. Deflating the cuffed tracheostomy tube

Question 2

When performing tracheostomy care, which action by the nurse is not appropriate?
 
  1. Unlocking and removing the inner cannula
  2. Rinsing the cannula in normal saline
  3. Using a pipe cleaner to dry the inside and outside of the cannula
  4. Cleaning the incision site and flange using sterile applicators or gauze dressings moistened with normal saline

[yotaSR5]

Answer to Question 1

Correct Answer: 3

The tracheostomy tube would only be suctioned if indicated; this would not be a routine step to perform at all times. The other steps would routinely be performed prior to capping the tube.

Answer to Question 2

Correct Answer: 3

The pipe cleaner should not be used to dry the outside of the cannula, only the inside. The remaining steps are correct.

[bcretired]

Excellent

[bitingbit]

TYSM