Asked by Janee S Holston on Jun 11, 2024
Verified
When assessing a patient's tracheostomy site,the nurse notes redness and inflammation around the stoma.Which intervention can the nurse provide to address this problem?
A) Decrease the frequency of tracheostomy care.
B) Apply a dry gauze dressing just under the stoma.
C) Remove the ties at frequent intervals.
D) Apply a topical antibacterial solution and allow it to dry.
Tracheostomy Site
The surgically created opening in the neck leading directly to the trachea (windpipe) to aid breathing.
Inflammation
A biological response to harmful stimuli, characterized by redness, swelling, pain, and heat in the affected tissues.
Topical Antibacterial Solution
A solution applied directly to the skin to eliminate or inhibit the growth of bacteria, often used in wound care.
- Apply appropriate intervention strategies to address redness and inflammation at a tracheostomy site.
Verified Answer
KE
kholoud eidehJun 14, 2024
Final Answer :
D
Explanation :
Apply a topical antibacterial solution and allow it to dry.Increase the frequency of tracheostomy care.Apply a hydrocolloid or transparent dressing just under the stoma to protect the skin from breakdown.Consult with a skin-care specialist.Adjust the ties or apply new ones when the ties are loose or tight.Never remove the ties.
Learning Objectives
- Apply appropriate intervention strategies to address redness and inflammation at a tracheostomy site.