When Capping the Patient's Tracheostomy Tube with a Speaking Valve,the

question 1

Multiple Choice

When capping the patient's tracheostomy tube with a speaking valve,the nurse assesses the patient's breath sounds around the tube and hears no air leak.Which nursing action is the most appropriate based on this assessment finding?

• A) Allowing the cap to remain in place as long as the patient tolerates it
• B) Documenting the placement of the cap and relevant data regarding patient assessment
• C) Removing the valve and notifying the health-care provider
• D) Assisting the patient out of bed

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