Question

The nurse is caring for a patient with a tracheostomy tube. Great care is taken when changing the security ties that hold the tracheostomy in place for which of the following reasons?

a) If the tie is plugged when the cuff is inflated, it could cause suffocation
b) The tracheostomy buttons may be improperly applied to the tie
c) Accidental saline lavage may cause a significant drop in oxygenation
d) The patient may accidentally cough out the tube, impairing the airway

Answer 1

Nurses must carefully change tracheostomy ties to prevent the tube from being dislodged, ensuring the patient's airway remains clear and unobstructed to avoid suffocation.

Step-by-step explanation:

Great care is taken when changing the security ties that hold a tracheostomy in place to prevent the patient from accidentally coughing out the tube, thereby impairing the airway. This could result in a compromised airway and potential suffocation. It is essential for the nurse to ensure that the new ties are securely fastened and that there is minimal disturbance to the tracheostomy tube during the process to maintain an open airway.