Final answer:
Managing a tracheostomy tube requires vigilance for respiratory distress, checking cuff pressure, assessing lung sounds, and ensuring patient comfort, with the airway being the primary focus of care.
Step-by-step explanation:
A crucial step in managing a patient with a tracheostomy tube is to monitor for signs of respiratory distress. This includes observing for symptoms such as difficulty breathing, changes in oxygen saturation, and swift interventions if the patient begins to struggle or if there's a blockage in the tube. Checking cuff pressure and the pilot balloon is also necessary to ensure that the tracheostomy tube remains sealed appropriately and to prevent tissue damage. Additionally, it's important to assess the patient's lung sounds regularly to detect any abnormalities such as secretions or obstructions that could impede breathing. Ensuring the patient's comfort with the tracheostomy tube is also significant but comes secondary to making sure their airway is protected and they can breathe adequately.