A patient with a tracheostomy is dyspneic and has coarse crackles anteriorly on auscultation. What should the nurse do first?
a. Suction the tracheostomy.
b. Perform routine tracheostomy care.
c. Administer a prn nebulized mist treatment.
d. Ask the patient to take a deep breath and cough.
ANS: D
Often, coughing will help clear the airway and relieve dyspnea quickly, and it is noninvasive. A, B, C, can be attempted if coughing does not eliminate the course crackles.
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