Saunders Respiratory Practice

What should a nurse do if they observe a tracheostomy tube that is dislodged during suctioning?

1. Attempt to reinsert the tube

2. Call for assistance immediately

3. Provide supplemental oxygen

4. Monitor the client's vital signs

The correct answer is: Attempt to reinsert the tube

In the situation where a tracheostomy tube becomes dislodged during suctioning, the most critical action is to ensure the airway remains patent and that the patient can breathe effectively. Attempting to reinsert the tube can be a necessary step, especially if the dislodgment occurs in a patient with a stable tracheostomy who requires immediate airway management, and there is no assistance available. This action helps prevent hypoxia and maintains ventilation, which is essential for the patient’s survival. However, it is also important to ensure the nurse is trained and capable of doing this safely. Reinsertion may be appropriate if the tube has not been out for an extended period and the patient shows no signs of significant distress. Timely repositioning of the tube can prevent complications such as airway obstruction or respiratory distress. The other choices, while relevant in an overall emergency response, would not directly address the immediate need to secure the airway. Calling for assistance, providing supplemental oxygen, and monitoring vital signs are all critical steps, but they should follow the immediate action of addressing the airway issue when possible.