Question

When inflating the cuff on a tracheostomy tube to the appropriate level, the best action by the nurse will be to

a. check the pilot balloon after inflation to ensure that it is firm.
b. use a manometer to ensure cuff pressure is at an appropriate level.
c. check the amount of cuff pressure ordered by the health care provider.
d. fill the balloon until minimal air leakage around the cuff is auscultated.

Answer 1

The best action when inflating a tracheostomy tube cuff is to use a manometer to precisely measure and ensure the cuff pressure is within the appropriate range, which maintains patient safety and cuff functionality.

Step-by-step explanation:

When inflating the cuff on a tracheostomy tube to the appropriate level, the best action by the nurse will be to use a manometer to ensure cuff pressure is at an appropriate level. While checking the amount of cuff pressure ordered by the health care provider and ensuring that the pilot balloon is firm are important, it is crucial to use a manometer for precise measurement. This method prevents overtightening, which could damage the tracheal mucosa due to excessive pressure, and it also avoids inadequate inflation that could lead to air leakage and aspiration risks.