ممرض يعمل عناية فغر الرغامى بأنبوب داخلي قابل للتنظيف. أي خطوة صحيحة؟

A nurse performs tracheostomy care with a cleanable inner cannula. Which step is correct?

1. Hold the tube secure while changing the ties
2. Tie the ties so tightly that no finger fits underneath
3. Clean the inner cannula with non-sterile soap and replace it wet
4. Remove the old ties completely before preparing new ones

Answer: A) Hold the tube secure while changing the ties. The tube is held secure during tie changes, ideally with an assistant. Ties allow one finger underneath. The inner cannula is cleaned per protocol and dried before reinsertion.