A nurse is assisting with the care of a client who is 2 days postoperative following the creation of a tracheostomy. Which of the following actions should the nurse plan to take?
Explanation & Rationale
A. Use clean technique when providing tracheostomy suctioning: Tracheostomy suctioning requires sterile technique, especially in the immediate postoperative period, to prevent infection and complications. Clean technique is not appropriate at this stage. B. Clean the tracheostomy stoma with povidone-iodine: Povidone-iodine can be irritating to the stoma and delay healing. Normal saline or a prescribed sterile solution is preferred for cleaning the tracheostomy site. C. Place the client in left Sims' position: The left Sims’ position is used for rectal procedures, not for tracheostomy care. The client should be positioned with the head of the bed elevated to promote airway clearance and reduce aspiration risk. D. Provide humidified air: Humidified air helps prevent the tracheal mucosa from drying, loosens secretions, and facilitates easier suctioning. It is an essential intervention for clients with a recent tracheostomy.