For a patient with a tracheostomy, what is a key nursing consideration?

• A. Remove the tracheostomy tube during daytime.
• B. Maintain airway patency, humidified air, regular suctioning as needed, and secure tube.
• C. Keep the tube disconnected from the ventilator.
• D. Do not suction.

Answer: (B)

Maintaining a clear airway is essential in tracheostomy care. The tube bypasses the nose and mouth, so humidified air is needed to keep secretions from drying and thickening. Providing humidified gas and ensuring adequate hydration helps prevent thick secretions that can obstruct the tube. Suctioning is used as needed to remove secretions and prevent blockage, which protects oxygenation and comfort. Securing the tube prevents accidental decannulation, which could abruptly compromise the airway. Keeping the tube connected to the ventilator when ventilation is needed ensures the patient continues to receive appropriate support. Removing the tube during the day, leaving it disconnected from the ventilator, or neglecting suctioning would increase the risk of airway obstruction and respiratory failure.