Which does the nurse explain during client teaching about tracheostomy tube (TT) care?
1. Clean the TT to maintain a clear airway.
2. Deflate the cuff of TT for thorough cleaning.
3. Use hydrogen peroxide for peristomal care.
4. Apply a nasal cannula for inner cannula care.
1
1. The nurse explains to the client that daily, sterile TT cleansing maintains the airway by removing accumulating secretions and reducing the microorganism count to prevent infection.
2. The nurse avoids deflating the tracheostomy cuff to maintain the airway and to prevent aspiration of secretions that accumulate on top of the cuff. The nurse suctions the oropharynx to remove these secretions following TT suctioning.
3. The nurse avoids using hydrogen peroxide for peristomal care because it is irritating to tissues.
4. Although the nurse cannot reattach the ventilator to the outer cannula while the inner cannula is removed, the nurse avoids applying a nasal cannula because the client cannot maintain an airway above the tracheostomy site; instead, the nurse places the client on a trach collar or T-tube briefly for inner cannula care.
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