A Patient with a Stoma and Tracheostomy Tube Is Responsive

Multiple Choice

A patient with a stoma and tracheostomy tube is responsive to painful stimuli and breathing shallowly at 6 times per minute. He has cyanosis of the fingertips and a weak, rapid radial pulse. Which one of the following is best in providing respiratory care to this patient?

A) Remove the tracheostomy tube, place a child mask on the bag-valve, and ventilate the patient through the stoma.
B) Attach the bag-valve device directly to the tracheostomy tube.
C) Use a continuous positive airway pressure device over the stoma.
D) Place a tracheostomy mask over the tube and administer high-concentration oxygen.