Author Question: The nurse is planning home care for a 2-year-old child with a tracheostomy. What recommendation ... (Read 23 times)

tfester · **on:** Jun 28, 2018

The nurse is planning home care for a 2-year-old child with a tracheostomy. What recommendation should be included?

a. Sterile technique is essential in home care of the tracheostomy.
b. Parents are able to change the tracheostomy tube when needed.
c. Play activities must be sedentary such as listening to music and working on puzzles.
d. The child must wear a plastic bib when eating or drinking to prevent aspiration into the stoma.

Question 2

A 3-year-old child with a tracheostomy will soon be discharged. What recommendation should the nurse share with the family?

a. Tub baths cannot be given.
b. The child cannot be allowed to play outdoors.
c. Avoid exposure to noxious fumes such as paint or varnish.
d. Cover the tracheostomy with a plastic bib when exposed to cold air.

Leostella20 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

a. Sterile technique is essential in home care of the tracheostomy.
b. Parents are able to change the tracheostomy tube when needed.
c. Play activities must be sedentary such as listening to music and working on puzzles.
d. The child must wear a plastic bib when eating or drinking to prevent aspiration into the stoma.

Answer to Question 2

ANS: C
The child with a tracheostomy should not be exposed to noxious fumes such as paint, varnish, or hair spray or to substances such as talc. The parent and child must be cautioned about safety measures around bodies of water. Baths can be taken, but parents must observe the necessary safety precautions. The child may play outdoors with a scarf or other protection that allows air through.