117. A community health nurse is providing home-based care for a client with a new tracheostomy. The client is coughing frequently and appears distressed. What is the immediate clinical action?
A.
Encourage deep breathing only
B.
Assess for airway obstruction, suction if needed, and notify physician if respiratory distress persists
✓
C.
Administer cough syrup
D.
Remove the tracheostomy tube
📖 Additional Information
Encourage deep breathing only
Assess for airway obstruction, suction if needed, and notify physician if respiratory distress persists