9. the nurse is documenting the completion of...
9. the nurse is documenting the completion of tracheostomy suctioning and tracheostomy care in a clients medical record. what should this documentation include? standard text: select all that apply. a. lung sounds before and after suctioning b. characteristics of suctioned sputum c. integrity of the skin around the stoma d. side on which the tracheostomy tie knot is located e. flow rate of oxygen
Answer
# Answer:
A. Lung sounds before and after suctioning
B. Characteristics of suctioned sputum
C. Integrity of the skin around the stoma
# Brief Explanations:
Lung sounds show airway - status change. Sputum characteristics help in assessing infection or other conditions. Skin integrity around stoma is important for preventing complications. Location of tie - knot and oxygen flow rate are not key elements for this documentation.