Tracheostomy care

Tracheostomy care ( 21 Questions)

A nurse is caring for a patient with a tracheostomy. The patient suddenly develops bright red bleeding from the tracheostomy stoma, pulsation of the tracheostomy tube in synchrony with the heartbeat, hypotension, and tachycardia. What should the nurse do first?


Correct Answer: B

Choice A rationale:

While notifying the healthcare provider is essential, the priority action in this situation is to stop the bleeding to prevent further complications.

Choice B rationale:

Applying direct pressure to the tracheostomy stoma is the first action the nurse should take to control the bleeding and stabilize the patient.

Choice C rationale:

Administering fluids and blood products may be necessary later, but it is not the first action to take when dealing with active bleeding.

Choice D rationale:

Ensuring proper positioning and alignment of the tracheostomy tube is important, but it is not the priority in this critical situation.




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