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When preparing to cap the client's tracheostomy tube with a speaking valve, which nursing action should be omitted before placing the valve?


A) Suctioning the oropharynx if there are any secretions present
B) Asking the client to cough
C) Suctioning the tracheostomy tube
D) Deflating the cuffed tracheostomy tube

Correct Answer

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Which task could the nurse safely delegate to the assistive personnel (AP) ?


A) Capping a tracheostomy tube
B) Performing tracheostomy care
C) Increasing oxygen concentration delivered to the client
D) Providing routine client care

Correct Answer

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D

A client has a tracheostomy with a disposable inner cannula. Which should the nurse do when replacing this part of the tracheostomy tube?


A) Affix the obturator to the new inner cannula
B) Ensure there is a replacement of the same type of tube
C) Select an inner cannula from the stock supply in the care area
D) Chose a replacement that is 2 inches shorter than the outer cannula

Correct Answer

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A client with a tracheostomy asks assistive personnel (AP) for help capping the tube with a speaking valve. Which action should the AP take?


A) Cap the tube
B) Ask another AP to cap the tube
C) Report the client's request to the nurse
D) Apply the cap after completing tracheostomy care

Correct Answer

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A client covers the tracheostomy tube with a finger when wanting to talk. Which action should the nurse take when this is observed?


A) Praise the client for creativity
B) Suggest the client cover the tube with a gauze pad instead
C) Instruct the client that this process can lead to an infection
D) Recommend the client wear a clean glove when covering the tube

Correct Answer

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C

The nurse is caring for a client with a tracheostomy tube. Which information should the nurse omit from documentation?


A) Quality of lung sounds
B) Status of inner cannula
C) Drainage from the stoma
D) Location of the tracheostomy tie knot

Correct Answer

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D

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