Difficulty: Medium
Average Score: 89%
Simulated
A nurse is planning to change a client's tracheostomy ties. Which of the following actions should the nurse take?
Correct answer
B
Rationale
The correct answer is B: Cut the old ties after the new ties are secured. This is the correct action because it ensures that the tracheostomy tube remains secure during the tie change process. By securing the new ties first before cutting the old ties, the nurse maintains the stability of the tracheostomy tube to prevent accidental dislodgment.
Choice A is incorrect because allowing space for three fingers under the ties may not provide adequate security. Choice C is incorrect as using a quick-release knot may lead to accidental loosening of the ties. Choice D is incorrect as extending the client's neck may cause discomfort or compromise the airway. It is essential to prioritize the safety and security of the tracheostomy tube during tie changes.
Choice A is incorrect because allowing space for three fingers under the ties may not provide adequate security. Choice C is incorrect as using a quick-release knot may lead to accidental loosening of the ties. Choice D is incorrect as extending the client's neck may cause discomfort or compromise the airway. It is essential to prioritize the safety and security of the tracheostomy tube during tie changes.