A nurse is preparing to suction a client's tracheostomy tube. Which step should the nurse perform first during the suctioning procedure?

Position the patient in semi-Fowler's position.

Apply a new dressing around the stoma.

Clean the inner cannula with hydrogen peroxide.

Gather equipment and supplies for the procedure.

Remove the old dressing and discard it in a moisture-resistant bag.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Positioning the patient in semi-Fowler's position (Choice A) is an important step in tracheostomy care, but it is not the first step during the suctioning procedure. Semi-Fowler's position helps promote lung expansion and allows for better visualization during the procedure.

Choice B rationale:

Applying a new dressing around the stoma (Choice B) is essential after suctioning to maintain cleanliness and prevent infection. However, it is not the first step in the suctioning procedure. The nurse should first gather the necessary equipment.

Choice C rationale:

Cleaning the inner cannula with hydrogen peroxide (Choice C) is not the first step during suctioning. The nurse should gather equipment and supplies first before performing any cleaning or other procedures.

Choice E rationale:

Removing the old dressing and discarding it in a moisture-resistant bag (Choice E) is an important step, but it should come after the nurse gathers the necessary equipment for the suctioning procedure.

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Correct Answer is C

Explanation

Choice A rationale:

Placing the patient in a prone position (Choice A) would not be suitable for suctioning a tracheostomy tube as it may impede breathing and proper access to the tracheostomy site.

Choice B rationale:

Placing the patient in a supine position (Choice B) is not the optimal position for tracheostomy suctioning. Semi-Fowler's position is preferred as it allows better lung expansion and facilitates the suctioning procedure.

Choice D rationale:

Placing the patient in Trendelenburg position (Choice D) is not appropriate for tracheostomy suctioning. Trendelenburg position is typically used for certain cardiovascular conditions and not for tracheostomy care.

A. Notify the health care provider immediately. B. Apply direct pressure to stop bleeding. C. Administer fluids and blood products as ordered. D. Ensure proper positioning and alignment of the tracheostomy tube.

Correct Answer is B

Explanation

Choice A rationale:

While notifying the healthcare provider is essential, the priority action in this situation is to stop the bleeding to prevent further complications.

Choice B rationale:

Applying direct pressure to the tracheostomy stoma is the first action the nurse should take to control the bleeding and stabilize the patient.

Choice C rationale:

Administering fluids and blood products may be necessary later, but it is not the first action to take when dealing with active bleeding.

Choice D rationale:

Ensuring proper positioning and alignment of the tracheostomy tube is important, but it is not the priority in this critical situation.

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A nurse is preparing to suction a client's tracheostomy tube. Which step should the nurse perform first during the suctioning procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to suction a tracheostomy tube for a patient. What position should the nurse place the patient in?

Correct Answer is C

Explanation

A nurse is caring for a patient with a tracheostomy. The patient suddenly develops bright red bleeding from the tracheostomy stoma, pulsation of the tracheostomy tube in synchrony with the heartbeat, hypotension, and tachycardia. What should the nurse do first?

Correct Answer is B

Explanation

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