While changing the trach ties,the client is accidentally decannulated.Your initial nursing intervention is to

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If a client is accidentally decannulated, the initial nursing intervention should be to insert the obturator through the trach opening. This will help maintain an open airway and prevent the tracheal wall from collapsing. Once the obturator is inserted, the trach tube can be reinserted over it. Calling the physician and placing the client in Fowler's position may also be necessary, but the priority is to maintain an open airway. Suctioning can be done once the trach tube is secure.

While Changing the Trach Ties,the Client Is Accidentally Decannulated