Difficulty: Medium
Average Score: 69%
Simulated
A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse plan to take?
Correct answer
D
Rationale
The correct answer is D: Secure the tracheostomy in place with a collar that has hook-and-loop fasteners. This is important to prevent accidental dislodgement of the tracheostomy tube. The collar provides stability and security, reducing the risk of complications such as airway obstruction. It also allows for easy adjustment and removal if needed.
A: Wearing clean gloves is important, but it is not directly related to tracheostomy care.
B: Hydrogen peroxide is not recommended for cleansing the skin around the stoma as it can be irritating and drying to the skin.
C: Placing a gauze pad under the flanges is not necessary and may increase the risk of infection or skin breakdown.
Overall, option D is the most appropriate action for tracheostomy care.
A: Wearing clean gloves is important, but it is not directly related to tracheostomy care.
B: Hydrogen peroxide is not recommended for cleansing the skin around the stoma as it can be irritating and drying to the skin.
C: Placing a gauze pad under the flanges is not necessary and may increase the risk of infection or skin breakdown.
Overall, option D is the most appropriate action for tracheostomy care.