Nokea
A nursing student is providing tracheostomy care. What action by the student requires intervention by the instructor?
Correct Answer: C
Rationale: The correct answer is C: Tying a square knot at the back of the neck. The reason this action requires intervention is that a square knot is not recommended for securing tracheostomy ties as it can be difficult to untie in an emergency. Instead, a quick-release knot or Velcro closure is typically used for easy removal.
A: Holding the device securely when changing ties is important for maintaining the integrity of the tracheostomy.
B: Suctioning the client first if secretions are present is a standard practice to ensure clear airways.
D: Using half-strength peroxide for cleansing is appropriate for tracheostomy care to prevent infection.
In summary, the incorrect choice is C because tying a square knot can pose risks in an emergency situation, while the other choices are appropriate actions in tracheostomy care.