A client is 24 hours postoperative after a tracheostomy has been performed.The nurse finds the client cyanotic,with the tracheostomy tube lying on his chest.Which action by the nurse takes priority?

Question

Quizplus · Accepted Answer

Tube dislodgment in the first 72 hours after surgery is an emergency because the tracheostomy tract has not matured and replacement is difficult.First,ventilate the client using a manual resuscitation bag and facemask while another nurse calls for help.Although auscultation of breath sounds is important,the client's airway must be opened and ventilation started.Ventilation should begin while another nurse calls the code.Reinsertion of a fresh tracheostomy tube will require the physician's intervention.

A Client Is 24 Hours Postoperative After a Tracheostomy Has