Question

A nurse is providing teaching to a parent of a child with a permanent tracheostomy tube. What is the correct sequence of steps for tracheostomy care?

a. Clean the stoma with 0.9% sodium chloride irrigation.
b. Remove the inner cannula.
c. Change the tracheostomy collar.
d. Remove the soiled dressing.

Answer 1

The correct sequence of steps for tracheostomy care is to remove the soiled dressing, clean the stoma with 0.9% sodium chloride irrigation, remove the inner cannula, and change the tracheostomy collar.

Step-by-step explanation:

The correct sequence of steps for tracheostomy care is as follows:

1. Remove the soiled dressing.
2. Clean the stoma with 0.9% sodium chloride irrigation.
3. Remove the inner cannula.
4. Change the tracheostomy collar.

This sequence ensures that the tracheostomy tube is properly cleaned and cared for, reducing the risk of infection and other complications. Removing the soiled dressing is the first step to maintain cleanliness, followed by cleaning the stoma with saline solution. The inner cannula is then removed for cleaning or replacement, and finally, the tracheostomy collar is changed.