A client has a newly created tracheostomy for mechanical ventilation after a surgical procedure. What action should the nurse plan for this client?
1. Deflate the cuff of the tracheostomy tube every 2 hours for 5 minutes.
2. Remove the tracheostomy ties and replace them with an elastic bandage.
3. Remove the tracheostomy inner cannula.
4. Tape the tracheostomy obturator to the head of the bed.
Correct Answer: 4
Rationale 1: The cuff should not be deflated if the client is being mechanically ventilated.
Rationale 2: The tracheostomy ties are only removed when they are soiled and need to be changed.
Rationale 3: The tracheostomy inner cannula is only removed for cleaning.
Rationale 4: The obturator should be taped to the head of the bed so that it will be readily available if the client tracheostomy tube should become dislodged.
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