A client's tracheostomy tube is accidentally extubated. The nurse should immediately:
A. Call the physician
B. Mechanically ventilate the client
C. Reinsert a new tube
D. Hold the stoma open with the fingertips
C
C. Accidental decannulation: Replace old tracheostomy tube with new tube. Some experienced nurses or respiratory therapists may be able to quickly reinsert tracheostomy tube. Keep spare tracheostomy tube of same size and kind at bedside in event of emergency replacement.
A. Notify physician after reestablishing airway.
B. Be prepared to manually ventilate clients in whom respiratory distress develops.
D. Reinsert tracheostomy tube. Keep spare tracheostomy tube of same size and kind at bedside in event of emergency replacement.
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