Difficulty: Medium
Average Score: 83%
Full-length
Passage / Scenario
A 12-year-old girl whose tracheostomy tube inserted 2 days ago has been accidentally dislodged.The nurse should
Correct answer
A
Rationale
Strategy: Answers are a mix of assessments and implementations. Does this situation require validation? No. Determine the outcome of the implementations. Remember ABCs. (1) correct-implementation, will secure the airway (2) implementation, will not provide for open airway (3) implementation, will not help with open airway (4) assessment, should be done after tracheostomy tube is replaced