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What should the nurse's initial action be if tube dislodgement occurs? A nurse is caring for a patient who had a surgical placement of a tracheostomy 48 hours ago.



A. Re-insert the tube and notify the physician
B. Place a 4x4 sterile gauze over the stoma to prevent infection
C. Obtain the patient s vital signs
D. Ventilate the patient using a manual resuscitation bag as another nurse notifies for help from the resuscitation team

This question is part of Medical Surgical Nursing: Respiratory Care
Asked by Frostanity, Last updated: Apr 01, 2020

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1 Answer

John Smith

John Smith

Answered Oct 08, 2016

Ventilate the patient using a manual resuscitation bag as another nurse notifies for help from the resuscitation team

Tube dislodgement that occurs 72 hours after surgery is an emergency. As such, ventilating the patient first is priority. Remember your ABCs.
 

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