Multiple Choice
When capping the client's tracheostomy tube with a speaking valve,the nurse assesses the client's breath sounds around the tube and hears no air leak.Which nursing action is the most appropriate based on this assessment finding?
A) Allowing the cap to remain in place as long as the client tolerates it
B) Documenting the placement of the cap and relevant data regarding client assessment
C) Removing the valve and notifying the health care provider
D) Assisting the client out of bed
Correct Answer:
Verified
Correct Answer:
Verified
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