The nurse is explaining the purpose of a tracheostomy tube for mechanical ventilation. Which patient statement indicated the need for additional teaching? "The tracheostomy tube is:
1. Used for long-term management, usually more than 2 or 3 weeks."
2. Helpful in allowing the respiratory muscles to be strengthened by increasing resistance to airflow."
3. Easier to use when there are increased secretions that need to be removed by suctioning."
4. Generally a method that allows oral nutrition to be resumed."
2
Rationale 1: This statement would not indicate the need for additional teaching.
Rationale 2: The tracheostomy reduces dead space, allowing the flow of air more easily into the airways so there is a decreased resistance to airflow. This statement indicates that additional teaching is needed.
Rationale 3: This statement would not indicate the need for additional teaching.
Rationale 4: This statement would not indicate the need for additional teaching.
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