The nurse is caring for a client with a tracheostomy.For what protective mechanism will the nurse monitor in the client?
A)The ability to cough
B)Filtration and humidification of inspired air
C)The sneeze reflex initiated by irritants in the nasal passages
D)Decrease in oxygen-carrying capacity of the trachea

Question

Quizplus · Accepted Answer

A tracheostomy bypasses the natural air filtering and humidifying mechanisms of the upper respiratory tract, so the nurse must monitor that these functions are being properly supported with regular suctioning, hydration, and humidification of inspired air. Option A, coughing, is a potential protective mechanism for clearing the airway, but it is not specific to tracheostomy care. Option C, the sneeze reflex, is not relevant as it also occurs in the upper respiratory tract. Option D, decrease in oxygen-carrying capacity of the trachea, is incorrect as the trachea does not have oxygen-carrying capacity.

The Nurse Is Caring for a Client with a Tracheostomy