Question

A nurse is providing discharge teaching to a client who has a temporary tracheostomy. which of the following statements by the client indicates an understanding of the teaching?

A.) "I should dip a cotton-tipped applicator into full-strength hydrogen peroxide to cleanse around my stoma."
B.)"I should cut a 4-inch gauze dressing and place it around my tracheostomy tube to absorb drainage."
C.)"I should remove the old twill ties after the new ties are in place."
D.)"I should apply suction while inserting the catheter into my tracheostomy tube."

Answer 1

The correct understanding of discharge teaching for a client with a tracheostomy is that old twill ties should be removed only after the new ties are in place, ensuring the tube stays secured.

Step-by-step explanation:

The client should show an understanding of the proper care of a temporary tracheostomy. Option C, "I should remove the old twill ties after the new ties are in place," indicates the client has understood the teaching. This practice is essential for safety to ensure that the tracheostomy tube is secured and does not get dislodged. In contrast, option A suggests using full-strength hydrogen peroxide, which could be too harsh and irritate the skin, B entails placing a gauze dressing around the tube, which may not be necessary or recommended, and D implies improper suction technique, as suction should never be applied while inserting the catheter to avoid tissue damage.