A Nurse Is Assessing a Client Who Has a Tracheostomy

question 1

Multiple Choice

A nurse is assessing a client who has a tracheostomy.The nurse notes that the tracheostomy tube is pulsing with the heartbeat as the client's pulse is being taken.No other abnormal findings are noted.What action by the nurse is most appropriate?

• A) Call the operating room to inform them of a pending emergency case.
• B) No action is needed at this time; this is a normal finding in some clients.
• C) Remove the tracheostomy tube; ventilate the client with a bag-valve-mask.
• D) Stay with the client and have someone else call the provider immediately.

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Definitions:

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Financial compensation awarded to an individual for loss or injury as a result of the violation of a legal right.

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