When caring for a resident with a tracheostomy, which of the following should you report immediately?

In the situation of caring for a resident with a tracheostomy, it is imperative to recognize that all options presented are serious concerns that require immediate attention. However, the most critical issue among them is when the tracheostomy tube comes out. If the tube is dislodged, the airway can quickly become obstructed, posing a significant risk of respiratory distress or failure.

The need for suctioning and the resident experiencing breathing difficulties are also important to report but may not require immediate intervention compared to a dislodged tube. If suctioning is needed, it is essential, but the airway can usually remain patent while waiting for suction equipment. Breathing difficulties also need prompt attention, but they can manifest for various reasons, and addressing the tube coming out should take priority.

Therefore, recognizing and reporting the dislodgment of the tracheostomy tube is critical for immediate intervention, emphasizing the need for quick action to ensure the resident's safety and well-being. This highlights an understanding of airway management and the urgency that can arise in tracheostomy care.