A client with a cuffed tracheostomy suddenly becomes anxious and dyspneic. The nurse cannot pass the suction catheter through the tracheostomy, and the client has noisy respirations. What is the nurse’s first action?

Question

Accepted Answer

A. Remove and replace the inner cannula — The most likely problem is a mucus plug/obstruction. The first step is to restore patency—remove and clean/replace the inner cannula, then suction as needed and provide oxygen.

Answer

B. Inflate the cuff to a higher pressure

Answer

C. Administer an albuterol nebulizer treatment

Answer

D. Call the client’s family to help calm them