Questions: A nurse is providing discharge teaching to a client who has a temporary tracheostomy. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is providing discharge teaching to a client who has a temporary tracheostomy. Which of the following statements by the client indicates an understanding of the teaching?
Transcript text: A nurse is providing discharge teaching to a client who has a temporary tracheostomy. Which of the following statements by the client indicates an understanding of the teaching?
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Solution

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The answer is "I should remove the old twill ties after the new ties are in place."

Explanation
Option 1: "I should dip a cotton-tipped applicator into full-strength hydrogen peroxide to cleanse around my stoma."

Using full-strength hydrogen peroxide is not recommended for cleansing around a stoma because it can be too harsh and may damage the delicate skin. Instead, a saline solution or a mild soap and water should be used.

Option 2: "I should cut a 4-inch gauze dressing and place it around my tracheostomy tube to absorb drainage."

Cutting gauze can lead to loose fibers that might enter the tracheostomy and cause irritation or infection. Pre-split tracheostomy dressings are recommended to avoid this risk.

Option 3: "I should remove the old twill ties after the new ties are in place."

This statement is correct. When changing tracheostomy ties, it is important to secure the new ties before removing the old ones to prevent accidental dislodgement of the tracheostomy tube.

Option 4: "I should apply suction while inserting the catheter into my tracheostomy tube."

Suction should not be applied while inserting the catheter, as this can cause trauma to the tracheal mucosa. SuThe answer is "I should remove the old twill ties after the new ties are in place."

Explanation
Option 1: "I should dip a cotton-tipped applicator into full-strength hydrogen peroxide to cleanse around my stoma."

Using full-strength hydrogen peroxide is not recommended for cleansing around a stoma because it can be too harsh and may damage the tissue. Instead, a saline solution or a mild soap and water should be used.

Option 2: "I should cut a 4-inch gauze dressing and place it around my tracheostomy tube to absorb drainage."

Cutting gauze can lead to loose fibers that might enter the tracheostomy and cause irritation or infection. Pre-cut gauze dressings specifically designed for tracheostomies should be used instead.

Option 3: "I should remove the old twill ties after the new ties are in place."

This statement is correct. When changing the ties of a tracheostomy tube, it is important to secure the new ties before removing the old ones to prevent accidental dislodgement of the tracheostomy tube.

Option 4: "I should apply suction while inserting the catheter into my tracheostomy tube."

Suction should not be applied while inserting the catheter, as this can cause trauma to the tracheal mucosa. Suction should only be applied while withdrawing the catheter.

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