A patient with a tracheostomy develops noisy breathing and visible secretions around the tube. Which nursing action is the priority?

Correct answer: B. Assess airway patency and prepare for suctioning

  • A. Offer oral fluids and reassess after one hour
  • B. Assess airway patency and prepare for suctioning
  • C. Place the patient in a flat position for comfort
  • D. Remove the tracheostomy tube immediately

Explanation

Noisy breathing and visible secretions may indicate partial airway obstruction, so airway patency and the need for suctioning must be assessed promptly. Removing the tube without preparation can cause serious airway loss.

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About Oxygen Therapy and Airway Care

Airway care includes positioning, suctioning, coughing and deep-breathing exercises, incentive spirometry, oxygen delivery devices and humidification. Questions address indications, flow rates, safety precautions and monitoring for hypoxia or oxygen toxicity, while distinguishing nasal cannula, simple mask, non-rebreather mask and Venturi mask use.

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