The nurse is caring for a client with an uncuffed tracheostomy tube who coughs violently during suctioning and dislodges the tracheostomy tube. Which of the following actions should the nurse take first?
A)Insert the obturator and attempt to reinsert the tracheostomy tube.
B)Position the client in an upright position with the neck extended.
C)Assess the client's oxygen saturation and notify the health care provider.
D)Ventilate the client with a manual bag until the health care provider arrives.

Question

Quizplus · Accepted Answer

The first action should be to attempt to reinsert the tracheostomy tube to maintain the client's airway. Assessing the client's oxygenation is an important action, but it is not the most appropriate first action in this situation. Covering the stoma with a dressing and manually ventilating the client may be an appropriate action if the nurse is unable to reinsert the tracheostomy tube. The client should be placed in a semi-Fowler's position if reinsertion of the tracheostomy tube is not successful.

The Nurse Is Caring for a Client with an Uncuffed