Question

A nurse is caring for a client with a tracheostomy. In which order should the tracheostomy care interventions be performed?

A. Document the type and amount of secretions
B. Suction the tracheostomy
C. Clean the inner cannula with hydrogen peroxide followed by sterile saline
D. Apply an O2 source loosely to prevent desaturation
E. Change tracheostomy ties if soiled
F. Apply a split 4x4 dressing around the tracheostomy

Answer 1

Caring for a client with a tracheostomy involves a sequence of steps beginning with suctioning, cleaning the inner cannula, applying a dressing, changing ties if soiled, applying an oxygen source, and documenting the secretions.

Step-by-step explanation:

When caring for a client with a tracheostomy, it is important to follow a specific sequence for tracheostomy care interventions:

1. Suction the tracheostomy to clear any secretions and ensure the airway is patent.
2. Clean the inner cannula with hydrogen peroxide followed by sterile saline to maintain a clear and infection-free cannula.
3. Apply a split 4x4 dressing around the tracheostomy to absorb any secretions and provide comfort around the stoma.
4. Change tracheostomy ties if soiled to secure the tracheostomy tube and prevent accidental dislodgement.
5. Apply an O2 source loosely to prevent desaturation, ensuring the client receives adequate oxygenation.
6. Document the type and amount of secretions to keep accurate records for ongoing assessment and care planning.