Which solution should a nurse select to clean the inner cannula during tracheostomy care?

Hydrogen peroxide is an effective solution for cleaning the inner cannula during tracheostomy care due to its antiseptic properties. It helps to break down mucus and any crusted secretions, making it easier to maintain the cleanliness of the cannula. Additionally, hydrogen peroxide's effervescent action facilitates the loosening of debris and aids in disinfection, which is crucial for preventing infections in patients with tracheostomies.

Other solutions may not be as effective or safe for this purpose. For example, saline is primarily used for moistening or flushing but does not offer the same level of antiseptic capability. Sodium bicarbonate is used in some contexts for cleaning, but it is not specifically recommended for tracheostomy care. Rubbing alcohol, while a strong antiseptic, can be too harsh for sensitive airway tissues and may cause irritation. Therefore, hydrogen peroxide is the preferred choice for ensuring the inner cannula is appropriately cleaned and free from pathogens.