The nurse has received a client immediately after surgery for head and neck cancer. The client has a tracheostomy that was created during the surgery and is being mechanically ventilated. What nursing action should be planned for this client?

Question

Quizplus · Accepted Answer

The nurse should tape the tracheostomy obturator to the head of the bed in case an emergency arises and the tracheostomy needs to be replaced. The other options are incorrect because: 
A) The tracheostomy ties should not be removed or replaced with an elastic bandage as this can cause dislodgment of the tracheostomy tube.
C) The cuff of the tracheostomy tube should not be deflated without a physician's order as this can cause aspiration or air leaks.
D) The tracheostomy inner cannula should not be removed unless it needs to be cleaned or replaced.

The Nurse Has Received a Client Immediately After Surgery for Head