The nurse caring for a patient who has a tracheostomy tube and is undergoing mechanical ventilation can help prevent tracheal dilation, a complication of tracheostomy tube placement, by:
A) Suctioning the tracheostomy tube frequently.
B) Using a cuffed tracheostomy tube.
C) Using the minimal air leak technique with cuff pressure less than 25 cm H2O
D) Keeping the tracheostomy tube plugged.
Ans: C
Feedback: To prevent tracheal dilation, a minimal-leak technique should be used and the pressure should be kept at less than 25 cm H2O. Suctioning is vital but won't prevent tracheal dilation. Use of a cuffed tube alone won't prevent tracheal dilation. The tracheostomy shouldn't be plugged to prevent tracheal dilation. This technique is used when weaning the patient from
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