[Answered]: An entry level LPN is caring for a 60 year old…

An entry level LPN is caring for a 60 year old female client who has a one week old tracheostomy. The client has been diagnosed with cancer of the throat.During a.m. care the nurse decides to perform trach care. The nurse has the client in a supine position with HOB at 5 degrees and proceeds to change the dressing around the stoma. The inner cannula is cleaned using 4×4’s, NaCl and non sterile gloves. The nurse decides to suction the client, using a suction catheter that was previously opened and connected to the suction wall unit. At this time the client complains of feeling SOB. The nurse explains it is probably from the suction and if she can hang on for a moment, it is almost done and will sit her up then. The trach ties are changed. The old ties are removed and while applying new ones, the client coughs and the trach falls out onto the bed.1. What should the nurse have done in this situation? What was missed?2. What are the risks? For what is the nurse accountable?3. What should you do if the tracheostomy comes out? How could this have been prevented?4. What assessments should the nurse have done?5. Should an entry level practical nurse be looking after a new tracheostomy? Why? What regulatory documents support your decision?6. What are some entry level competencies that a new LPN must have in order to care for this patient? Explain them and the reasoning behind them.7. How would you document this situation? Be prepared to discuss in class what you would document and why in groups.