Section: NCLEX

32) The nurse is observing a student nurse care for a patient with a tracheostomy tube. The nurse would intervene if which of the following was observed?

1. The student nurse uses clean gloves to remove the tracheostomy dressing.
2. The student nurse cleans the inner canula by soaking it in hydrogen peroxide.
3. The student nurse replaces the dressing with a folded gauze 4 ¥ 4.
4. The student nurse removes the soiled trach ties then replaces with clean ties.

The student nurse should apply new ties prior to removing old ties to prevent dislodgment of the trach.