Fairly easy

A patient with a tracheostomy suddenly becomes restless, cyanosed and unable to move air through the tube. Which action should the nurse take first?

Correct answer: A. Assess the tube for obstruction

  • A. Assess the tube for obstruction
  • B. Offer oral fluids to loosen secretions
  • C. Place the patient flat in bed
  • D. Document the change in the chart

Explanation

The findings indicate an immediate airway and breathing emergency, so the nurse first assesses the tracheostomy tube and removes obstruction according to local protocol. Fluids and documentation can be considered later, but they must not delay airway management.

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The respiratory system includes the air passages, lungs, pleura, alveoli and the mechanics of breathing. It explains pulmonary ventilation, gas exchange, oxygen and carbon dioxide transport, regulation of breathing, and the difference between external respiration in the lungs and internal respiration in body tissues.

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