What is the priority action for an LPN when caring for a patient with a new tracheostomy?

The priority action for an LPN when caring for a patient with a new tracheostomy is to ensure the airway remains patent. This is crucial because a new tracheostomy presents a significant risk for airway obstruction due to factors such as swelling, secretions, or accidental dislodgement of the tracheostomy tube. Maintaining a clear airway is vital for adequate oxygenation and ventilation.

Monitoring vital signs closely is important in assessing the patient's overall condition, but it does not directly address the immediate and critical concern of airway patency. While vital signs can give insights into the patient's respiratory status, an obstructed airway can lead to rapid deterioration, making clear airway management the top priority.

Starting antibiotic therapy immediately may be necessary if there are signs of infection, but this is not an immediate action related to the acute management of a newly established airway. Antibiotics would not address a blockage or difficulty in breathing.

Providing suctioning every hour is excessive for a stable patient; suctioning should be done as needed based on the patient’s secretions and airway patency rather than on a fixed schedule. Over-suctioning can irritate the airway and lead to complications.

In summary, ensuring that the airway remains patent is essential for the safety and stability