While the nurse is changing the ties on a tracheostomy collar,the patient coughs,dislodging the tracheostomy tube.What is the nurse's first nursing action?

A) Press the emergency response button.
B) Place the patient on a face mask delivering 100% oxygen.
C) Insert a spare tracheostomy tube.
D) Manually occlude the tracheostomy with sterile gauze.

The nurse's first priority is to establish a stable airway by inserting a spare tracheostomy tube into the patient's airway.The nurse could activate the emergency response team if the patient is still unstable after the tracheostomy tube is placed.A patient with a tracheostomy has an impairment that causes him or her not to be able to breathe normally;a face mask would not be an effective method of getting air into the lungs.Manually occluding pressure over the tracheostomy site is not appropriate.