The nurse is providing care to a patient with a new tracheostomy. Which intervention is appropriate to include in this patient's care? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Do not remove tracheostomy ties.
2. Assess frequently to determine if sterile suctioning is needed.
3. Clean the inner cannula with sterile normal saline.
4. Remove crusted secretions with hydrogen peroxide and flush with normal saline.
5. Assess areas under the edges of the faceplate for breakdown.
2,4,5
Rationale 1: Tracheostomy ties may be removed and replaced.
Rationale 2: The patient may be unable to clear secretions and may require suctioning.
Rationale 3: The steps in tracheostomy care include removing the inner cannula for cleaning.
Rationale 4: The steps in tracheostomy care include using hydrogen peroxide to remove crusted secretions.
Rationale 5: Areas under the edges of the faceplate are prone to breakdown and should be assessed routinely.
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