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A patient with a tracheostomy has thick, tenacious secretions. To maintain the airway, the most appropriate action for the nurse includes:

A. Tracheal suctioning.
B. Oropharyngeal suctioning.
C. Nasotracheal suctioning.
D. Orotracheal suctioning.

Answer :

Final answer:

The most appropriate action for the nurse in this situation is tracheal suctioning.

Explanation:

The most appropriate action for the nurse to take in order to maintain the airway of a patient with thick tenacious secretions is tracheal suctioning. Tracheal suctioning involves the insertion of a catheter into the trachea to remove secretions that may be obstructing the airway. This procedure is specifically designed to clear the airway of thick and tenacious secretions, helping the patient breathe more easily.

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To maintain the airway of a patient with a tracheostomy and thick secretions, the nurse should use tracheal suctioning, as it effectively removes mucus directly from the trachea through the tracheostomy tube.

The most appropriate action for a nurse to maintain the airway of a patient with a tracheostomy who has thick tenacious secretions is A. tracheal suctioning. Tracheal suctioning is the process of removing mucus and secretions directly from the trachea through the tracheostomy tube. This is especially important when the secretions are thick and tenacious, as they can block the tracheostomy tube and interfere with the patient's breathing.

Oropharyngeal suctioning (B), nasotracheal suctioning (C), and orotracheal suctioning (D) are not the most appropriate choices in this scenario because they do not directly address the secretions that are present in the tracheostomy tube. The goal in such a case is to remove the secretions that might be blocking the tube and causing respiratory distress.