The Nurse Is Caring for a Spontaneously Breathing Patient Who

The nurse is caring for a spontaneously breathing patient who has a tracheostomy. To determine that the patient can protect the airway when eating without having the tracheostomy cuff inflated, the nurse will deflate the cuff and

A) ask the patient to say a few sentences.
B) monitor for signs of respiratory distress.
C) have the patient drink a small amount of grape juice and observe for coughing.
D) auscultate the lungs for crackles after having the patient take a few sips of water.

Correct Answer:

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