Practice Quiz

NCLEX-RN

Category - Physiological

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A nurse is caring for a client with a tracheostomy. The following nursing actions are appropriate except:
  1. The cuff is inflated during meals and for 1 hour after meals.
  2. Encourage the client to do coughing and deep breathing exercises.
  3. Hyperoxygenate the client before suctioning.
  4. Cutting and removing the old ties before placing the new ties when changing.
Explanation
Answer: D - As the nurse changes the tracheostomy ties, the new ties must be in place first before cutting and removing the old ties. The other actions are appropriate.
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