What is an immediate priority when managing a patient with a tracheostomy who is receiving oxygen?

• A. Monitor the patient's heart rate
• B. Check the patency of the airway
• C. Adjust oxygen levels
• D. Ensure the humidity level is appropriate

Answer: (B)

When managing a patient with a tracheostomy who is receiving oxygen, checking the patency of the airway is a critical immediate priority. This is because an obstructed airway can lead to inadequate oxygenation and put the patient at significant risk of respiratory distress or failure. Ensuring that the airway is clear allows for optimal oxygen delivery and helps to prevent complications such as hypoxia.

Monitoring heart rate, adjusting oxygen levels, and ensuring appropriate humidity are all important aspects of care but can be secondary to the immediate need to verify that the airway is patent. If the airway is compromised, attempts to manipulate oxygen settings or monitor other vital signs may be futile, as the patient may not be able to breathe effectively.