Question

When providing care for the client with a new tracheostomy, the nurse should give priority to: A. Using aseptic technique when cleaning the tracheostomy B. Ensuring a snug fit between the tracheostomy ties and the neck C. Oxygenating the client with \(100 \%\) oxygen before suctioning D. Changing the disposable inner cannula every 48 hours

Short answer

Answer: Oxygenating the client with 100% oxygen before suctioning.

Step-by-step solution

Understanding tracheostomy care

A tracheostomy is a medical procedure that involves creating an opening in the neck to access the trachea. It is necessary for various medical reasons, like restoring airflow in cases of compromised airways. It is essential to understand how to care for a patient with a tracheostomy to ensure their health and prevent complications.

Analyzing option A

Option A says "Using aseptic technique when cleaning the tracheostomy." Aseptic techniques are essential to reduce the risk of infection, but there might be more critical priorities in tracheostomy nursing care.

Analyzing option B

Option B says "Ensuring a snug fit between the tracheostomy ties and the neck." Ensuring a proper fit is essential to prevent accidental dislodgement of the tracheostomy tube which may compromise the patient's airway. However, it should not be too tight to prevent proper airflow or cause discomfort.

Analyzing option C

Option C says "Oxygenating the client with \(100 \%\) oxygen before suctioning." Suctioning is an essential part of tracheostomy care as it helps in clearing secretions from the patient's airway, and hyperoxygenating the client before suctioning can help prevent hypoxia during the procedure. This can be crucial in maintaining the patient's oxygen levels and overall health.

Analyzing option D

Option D says "Changing the disposable inner cannula every 48 hours." Changing disposable inner cannulas is important in maintaining the tracheostomy's cleanliness, reducing the risk of infection and ensuring proper airflow. However, the frequency and necessity of changing the cannula are more of a routine part of tracheostomy care and not necessarily of the highest priority as it can vary depending on the type of cannulas used and doctor's advice.

Choosing the priority action

Based on the analysis, the priority action should be #bold#Option C: Oxygenating the client with \(100 \%\) oxygen before suctioning#end_bold#. It is crucial in maintaining the patient's overall health and preventing complications during suctioning. Aseptic techniques, proper fitting tracheostomy ties, and changing the inner cannula regularly are also essential, but they are not as critical as ensuring that the patient maintains adequate oxygen levels during suctioning.