While visiting a patient who has been receiving transtracheal O2 therapy for 6 months, you note marked erythema and swelling at the stoma site. Which of the following actions would be appro-priate at this time?
a. Question the patient and family about their cleaning methods.
b. Promptly report your observations to the prescribing physician.
c. Liberally apply tincture of benzoin to the stoma site.
d. Flush the catheter and the tubing with H2O2.
ANS: B
In particular, you should immediately report any evidence of tract tenderness, fever, excessive cough, increased dyspnea, or subcutaneous emphysema to the patient's physician.
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