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Which action indicates that a client has accurately understood the procedure of changing a tracheostomy dressing?

Which action indicates that a client has accurately understood the procedure of changing a tracheostomy dressing?

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A. The client cleans around the incision site, using gauze squares and full-strength hydrogen peroxide.
B. The client rinses around the clean incision site, using gauze squares moistened with normal saline.
C. The client rinses around the clean incision site, using gauze squares moistened with tap water.
D. After cleaning around the incision site, the client applies cotton-filled gauze squares as the sterile dressing.

This question is part of basic physical care (part 1)

Asked by Ryan, Last updated: Aug 05, 2020

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2 Answers

A.Jeff

A.Jeff

Answered Apr 25, 2018

The client rinses around the clean incision site, using gauze squares moistened with normal saline.-rationale: to change a tracheostomy dressing effectively, the client should rinse around the clean incision site, using gauze squares moistened with normal saline. if crusts are difficult to remove, the client may use a solution of 50% hydrogen peroxide and 50% sterile saline not full-strength hydrogen peroxide. the client shouldn't use tap water, which may contain chemicals and other harmful substances. to prevent lint or fiber aspiration and subsequent tracheal abscess, the client should use sterile dressings made of non-raveling material instead of cotton-filled gauze squares.

To clean the incision:
Gently wash it with soap and water to remove the crust.
Do not scrub or soak the wound.

Do not use rubbing alcohol, hydrogen peroxide, or iodine, which can harm the tissue and slow wound healing.
Air-dry the incision or pat it dry with a clean, fresh towel before reapplying the dressing

 

John Smith

John Smith

Answered Sep 09, 2016

The client rinses around the clean incision site, using gauze squares moistened with normal saline.-rationale: to change a tracheostomy dressing effectively, the client should rinse around the clean incision site, using gauze squares moistened with normal saline. if crusts are difficult to remove, the client may use a solution of 50% hydrogen peroxide and 50% sterile saline not full-strength hydrogen peroxide. the client shouldnt use tap water, which may contain chemicals and other harmful substances. to prevent lint or fiber aspiration and subsequent tracheal abscess, the client should use sterile dressings made of nonraveling material instead of cotton-filled gauze squares.client needs category: physiological integrityclient needs subcategory: basic care and comfortcognitive level: applicationreference: craven, r.f., and hirnle, c.j. fundamentals of nursing: human health and function, 5th ed. philadelphia: lippincott williams & wilkins, 2007, p. 862.
 

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