A client with a 3-day-old tracheostomy coughs vigorously and the entire tracheostomy tube is expelled. The client is in respiratory distress. Which actions are appropriate? Select all that apply.
Select All That Apply
Choose your responses, then check the answer.
Explanation
A 3-day-old tracheostomy has an immature tract, so accidental decannulation can create a false passage and is an airway emergency. Option 1 is incorrect because hyperflexion obstructs access and can worsen airway alignment. Option 2 is incorrect because oxygenation must begin immediately while help is summoned. Option 3 is correct when the upper airway is patent: occlude the stoma and ventilate through the mouth and nose with a bag-mask device. Option 4 is correct because expert airway help should be activated immediately while oxygenation continues; a fresh tracheostomy favors oral intubation by a skilled clinician when mask ventilation is inadequate. Option 5 is correct because replacement equipment should be ready for the airway clinician, but a bedside nurse should not blindly force a tube through an immature tract.