ACCS Oakes practice Exam Questions and answers, 100% Accurate. VERIFIED.

ACCS Oakes practice Exam Questions and answers, 100% Accurate. VERIFIED. A difficult intubation is anticipated with an obese pt. The decision is made to intubate by video laryngoscopy. Which of the following is LEAST likely to be needed: A) Cook's Exchanger B) Rigid Stylet C) Cuffed Endotracheal Tube D) Video-enabled Laryngoscope - -A) cook's exchanger Video laryngoscopy involves use of a normal ET Tube with the addition of a rigid stylet, as well as a video-enabled laryngoscope and other normal intubation equipment. A Cook's Tube Exchanger is not necessary - this is used to exchange tubes already in place. A 5'6" female has been transferred from Intermediate Care to Intensive Care in respiratory distress. She is intubated with a silver-coated #7.0 Endotracheal tube. CXR immediately following intubation shows Right Upper Lobe infiltrate with bibasilar atelectasis. The ET Tube is noted to be approximately 4 cm above the carina. The Respiratory Therapist would BEST recommend: A) Initiation of broad-spectrum antibiotics for probably pneumonia B)Withdraw Endotracheal tube at least 3 cm C) Use tube exchanger to replace Endotracheal tube from silver-coated to a low-pressure/high-volume cuffed tube D) Immediate V/Q Scan - -Correct answer is A This pt has gone into respiratory failure, requiring intubation. The X-ray is consistent with a possible pneumonia diagnosis. The best option therefore is to start antibiotics. Withdrawing ET Tube is not indicated as 4 cm is likely adequate. Pulling back 3 cm could result in inadvertent extubation and would cause harm to patient Use of tube exchanger is unnecessary. A silver-coated endotracheal tube is intended to help prevent VAP Immediate V/Q scan is not indicated - it is a poor use of resources for what is needed right away.