A nurse is preparing to perform tracheostomy care. Which of these ...

[javeds]

A nurse is preparing to perform tracheostomy care. Which of these steps is correct?
 
  a. Clean the neck plate with saline and rinse with hydrogen peroxide; then remove inner cannula.
  b. Place the inner cannula in hydrogen peroxide solution; then clean the neck plate with peroxide and saline.
  c. Clean the neck plate with hydrogen peroxide and rinse with saline; then remove inner cannula.
  d. Place the inner cannula in saline solution; then clean the neck plate with hydrogen peroxide solution.

Question 2

Secondary Raynaud's disease is characterized by:
 
  a. a localized dilation of a weakened section of the medial layer of an artery
  b. association with a connective tissue or collagen vascular disease
  c. caused by incompetent valves and veins that have lost their elasticity
  d. caused by intermittent spasms of the digital arteries and arterioles, which result in decreased circulation to fingers and toes

[alvinum]

Answer to Question 1

C
During tracheostomy care, the neck plate should be cleaned with hydrogen peroxide and rinsed with saline, and then the inner cannula should be removed. These actions decrease the microorganisms and remove crusting.

Answer to Question 2

B
When associated with a connective tissue or collagen vascular disease, medications, or occupational trauma, the condition is called Raynaud's phenomenon or secondary Raynaud's.