Kap readiness 180

Guaranteed Success Latest Update 2022 Guaranteed Success Latest Downloaded by Better Health () 1/139 Update 2022 client with a cuffed desired; cuff inflation decreases the risk of tracheostomy aspiration; cuff position and pressure should be tube. Before performing oral assessed frequently; swallowing and breathing care, the nurse notes that the will cause client's tracheostomy cuff is tracheostomy tube movement inflated. Which of the following is the MOST appropriate action 2)Implementation: outcome not desired; for the nurse to take? accumulated oral secretions above the cuff will drain into the bronchi; increased risk of 1. Leave the cuff inflated infection and suction through the tracheostomy. 3)Implementation: outcome not desired; cuff 2.Deflate the cuff and suction pressure should be less than 20 mm Hg (25 through the tracheostomy cm H2O); risk of trauma to trachea with higher tube. pressures 3.Inflate the cuff pressure to 40 mm Hg before suctioning. 4) Implementation: outcome not desired; 4.Adjust the wall suction increases the risk of trauma to lower airways pressure to 160 to 180 mm Hg before suctioning. A young adult brings a friend 1) Assessment: outcome not priority but may be to the emergency department appropriate; pinpoint pupils are a sign of heroin and states that the friend has overdo