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NCLEX Question of the Day
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A nurse is caring for a client with a tracheostomy. What is the best way to prevent a tracheoinnominate artery fistula?
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Correct answer Ensure the tracheostomy tube is well secured and properly positioned.
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Frequently change the tracheostomy ties.
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Encourage oral intake to promote good nutrition.
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Perform tracheostomy care daily.
Rationale
A tracheoinnominate artery fistula is a rare but life-threatening complication of a tracheostomy that can occur due to prolonged pressure from the tracheostomy tube's flange or cuff against the innominate artery. The best prevention is to ensure that the tracheostomy tube is well-secured and properly positioned to prevent movement and pressure against this artery. While good nutrition, daily tracheostomy care, and changing the ties are important aspects of tracheostomy care, they do not specifically address the prevention of a tracheoinnominate artery fistula.
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