An underinflated ET cuff is suspected with the presence of: A. ...

[saliriagwu]

An underinflated ET cuff is suspected with the presence of:
 
  A. Tracheomalacia
  B. Decreased phonation
  C. Tracheoesophageal fistula
  D. Aspiration of gastric contents

Question 2

When assessing a client's tracheostomy site, a nurse notes that there is irritation around the stoma. The nurse should:
 
  A. Decrease the frequency of care
  B. Apply cold compresses
  C. Remove the ties at intervals
  D. Apply a topical antibacterial solution

[thall411]

Answer to Question 1

D
D. Aspiration and phonation can occur when cuff is underinflated.
A. Tracheomalacia can occur when the cuff is overinflated.
B. Ability for phonation increases when cuff is underinflated.
C. Tracheoesophageal fistula can occur when the cuff is overinflated.

Answer to Question 2

D
D. Apply topical antibacterial solution, and allow it to dry and provide bacterial barrier.
A. Increase frequency of tracheostomy care.
B. Consider intermittent application of heat to increase blood flow and promote healing.
C. Adjust ties or apply new ties/trach holder. Apply hydrocolloid or transparent dressing just under stoma to protect skin from breakdown. Consult with skin care specialist.

[saliriagwu]

Thanks

[thall411]

Welcome