The preceptor is working with a new nurse to provide care for a patient with a new tracheostomy. Which actions by the new nurse indicate need for additional teaching about the procedure? (Select all that apply.)
A) The outer cannula is cleaned with the brush and half-strength H 2 O 2
B) The new tracheostomy holder is secured before the old soiled one is removed.
C) A Yankauer suction catheter is used to remove secretions from the patient's mouth.
D) Sterile gloves are applied before the soiled dressing is removed from the tracheostomy.
E) Half-strength H 2 O 2 is used to remove crusted secretions around the tracheostomy site.
F) Pain medication is administered to the patient prior to suctioning.

Question

The preceptor is working with a new nurse to provide care for a patient with a new tracheostomy. Which actions by the new nurse indicate need for additional teaching about the procedure? (Select all that apply.)
A) The outer cannula is cleaned with the brush and half-strength H 2 O 2 
B) The new tracheostomy holder is secured before the old soiled one is removed.
C) A Yankauer suction catheter is used to remove secretions from the patient's mouth.
D) Sterile gloves are applied before the soiled dressing is removed from the tracheostomy.
E) Half-strength H 2 O 2 is used to remove crusted secretions around the tracheostomy site.
F) Pain medication is administered to the patient prior to suctioning.

Quizplus · Accepted Answer

Only the inner cannula of the tracheostomy is removed for cleaning. The outer cannula stays in the trachea to maintain airway patency. Clean gloves are applied before the soiled dressing is removed. Half-strength HS1U1B12S1U1B0OS1U1B12S1U1B0 is used to remove secretions that have built up on the inner cannula. Sterile saline should be used to clean the patient's skin as needed.

The Preceptor Is Working with a New Nurse to Provide