Difficulty: Medium
Average Score: 84%
Simulated
A nurse is caring for a client who has a tracheostomy tube. Upon data collection, the nurse observes the client is restless and hears crackles in the lungs. Which of the following interventions should the nurse take?
Correct answer
A
Rationale
Restlessness and lung crackles suggest secretions blocking the tracheostomy, requiring suctioning. Saline instillation, cuff checks, and humidification don't address acute obstruction.