The nurse performs tracheostomy care for the client. Which does the nurse instruct the nursing assistant to implement while changing the ties of the tracheostomy tube?
1. Prevent the client from coughing out the tube.
2. Don sterile gloves before providing assistance.
3. Inject sterile saline solution into tracheostomy.
4. Hold the tracheostomy tube securely in place.
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4. The nurse instructs the nursing assistant to hold the tracheostomy tube firmly in place to prevent accidental dislodgement, being careful to maintain a gentle hold be-cause excessive pressure can induce client coughing.
1. The nursing assistance cannot prevent client coughing; however, the nursing assis-tant can reduce the risk of client coughing by gently holding the tracheostomy tube in place during cleaning.
2. The nursing assistant wears clean gloves to hold the tracheostomy tube in place.
3. Injecting sterile saline solution into the tracheostomy tube is contraindicated.
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