The preceptor is working with a new nurse to provide care for a patient with a new tracheostomy
Which actions by the new nurse indicate need for additional teaching about the procedure? (Select all that apply.)
a.
The outer cannula is cleaned with the brush and half-strength H2O2.
b.
The new tracheostomy holder is secured before the old soiled one is removed.
c.
A Yankauer suction catheter is used to remove secretions from the patient's mouth.
d.
Sterile gloves are applied before the soiled dressing is removed from the tracheostomy.
e.
Half-strength H2O2 is used to remove crusted secretions around the tracheostomy site.
f.
Pain medication is administered to the patient prior to suctioning.
ANS: A, D, E
Only the inner cannula of the tracheostomy is removed for cleaning. The outer cannula stays in the trachea to maintain airway patency. Clean gloves are applied before the soiled dressing is removed. Half-strength H2O2 is used to remove secretions that have built up on the inner cannula. Sterile saline should be used to clean the patient's skin as needed.
You might also like to view...
The nurse notes that a client from a different culture has gained 15 lbs. over the last 6 months. What should the nurse suspect as the reason for this client's change in weight?
a. Adoption of Western eating habits b. Poor acculturation into the community c. Inability to find culturally acceptable foods d. Depression from being separated from home
Your client is a 14-year-old female who comes in for assessment related to an inability to wake up in the morning. Which of the following statements is an appropriate consideration?
1. Teens experience delayed sleep syndrome. 2. Teens have longer sleep-wake cycles. 3. Teens have shorter sleep-wake cycles. 4. Most teens need 8 to 10 hours of sleep a night.
Homicide is the second leading cause of death among which population?
a. Individuals between 15 and 24 years of age b. Native American infants c. Caucasian women between 25 and 34 years of age d. African American children between 15 and 19 years of age
The nurse is intubating a client whose respiratory status is inadequate owing to status asthmaticus. What would the nurse do to verify proper placement?
A) Palpate the neck. B) Slightly pull on the tubing. C) Obtain a chest x-ray. D) Obtain a MRI.