A client has a fenestrated tracheostomy tube in place. A tracheostomy plug will be used to allow the client to talk. The intervention by the nurse that would be essential before inserting the plug is
a. alerting the client to a new system of communication.
b. deflating the cuff on the tracheostomy tube.
c. evaluating the client's tidal volume.
d. positioning the client to facilitate air flow.
B
A cuffed tracheostomy tube is always deflated before using a talking tracheostomy adapter. Cuff inflation prevents exhalation, causing suffocation.
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