Tuesday, August 22, 2006

Question of the Week - 08/21/06

A nurse is performing the routine daily cleaning of a tracheostomy. During the procedure, the client coughs and displaces the tracheostomy tube. This negative outcome could have avoided by

1. placing an obturator at the client’s bedside
2. having another nurse assist with the procedure
3. fastening clean tracheostomy ties before removing old ties
4. placing the client in a flat, supine position

3 comments:

Danielle Mathias-Lamb said...

The correct answer is number: 3

Fastening clean tracheostomy ties before removing old ones will ensure that the tracheostomy is secured during the entire cleaning procedure. The obturator is useful to keep the airway open only after the tracheostomy outer tube is coughed out. A second nurse is not needed. Changing the position may not prevent a dislodged tracheostomy.

Danielle Mathias-Lamb said...

Hey, would anyone be interested in taking the commitment to post this weekly? It would take just a few moments of your time.

Bonnie Boss said...

If someone does post these, I will insert the links into the test bank.