A physician is concerned about the potential for tracheal damage ...

[karen]

A physician is concerned about the potential for tracheal damage due to tube movement in a pa-tient who recently underwent tracheotomy and is now receiving 40 oxygen through a T tube (Briggs adapter).
 
  Which of the following would be the best way to limit tube movement in this patient?
  a. Give a neuromuscular blocker to prevent patient movement.
  b. Secure the T tube delivery tubing to the bed rail.
  c. Tape the T tube to the tracheostomy tube connector.
  d. Switch from the T tube to a tracheostomy collar.

Question 2

Which of the following techniques or procedures should be used to help minimize infection of a tracheotomy stoma?
 
  1. Regular aseptic stoma cleaning
  2. Adherence to sterile techniques
  3. Regular change of tracheostomy dressings
  a. 1 and 2 only
  b. 1 and 3 only
  c. 2 and 3 only
  d. 1, 2, and 3

[SeanoH09]

Answer to Question 1

ANS: D
If the tracheostomy patient requires oxygen therapy, tracheostomy collars are preferred to T tubes or Briggs adapters.

Answer to Question 2

ANS: D
Good tracheostomy care, including aseptic cleaning of the stoma with sterile normal saline or half strength hydrogen peroxide, should be carried out routinely.