A nurse at a health care facility is caring for a client who requires prolonged oxygenation and therefore has a tracheostomy tube to aid ventilation. When should the nurse perform tracheostomy care for this client?
A) At least every 4 hours
B) When oxygen saturation exceeds 90%
C) At least every 8 hours
D) After feeding the client
C
Feedback:
The nurse should perform tracheostomy care at least every 8 hours, or as often as clients need to keep the secretions from becoming dried and then narrowing or occluding the airway. SaO2 of ?90% is not an indication for tracheostomy care. The nurse need not wait until after suctioning or feeding the client to perform tracheostomy care.
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