EL 266 - ISB Gas Exchange / Airway Management | Questions
and Answers
Questions in this set (71)
Providing endotracheal tube care is INAPPROPRIATE
________ to delegate to NAP.
Nurses may collaborate with to RESPIRATORY THERAPY STAFF
prevent cuff-related problems.
Once an ET is inserted, CAPNOGRAPHY
confirmation of correct
placement is achieved by chest
X- ray examination or _ .
Your chief concern after an ET is PATENCY
inserted and secured and the
cuff is inflated is to maintain
___________of the ET.
Properly securing an ET EXTUBATION
prevents inadvertent from
coughing or pulling
on the tube.
,The nurse auscultates the lung Observe the centimeter marking on the ET at lip or gum line.
sounds of a patient with an ET
and notes decreased breath Feedback
sounds on the left. The nurse The easiest and most cost-efficient method to determine tube
wants to verify that the ET has depth is to look at the marking made at the time of intubation on the
not moved from its original ET to see if it remains at the lip or gum line as indicated in the
position. What is the nurse's patient's record.
best initial action to determine
proper tube depth?
Request an order for a chest X-
ray examination.
Observe the centimeter marking
on the ET at lip or gum line.
Pull back on the ET and auscultate
the left lung for breath sounds.
Call respiratory care staff to verify
results of original capnography.
To prevent ventilator-associated False
pneumonia, change patient position
every 2 hours, perform oral care Feedback
every 8 hours, and keep the head To prevent ventilator-associated pneumonia, the head of the
of the bed flat. bed should be elevated 30 to 45 degrees to prevent aspiration.
Tru Oral care should be performed at least every 8 hours and position
e changes should be made every 2 hours.
Fals
e
Signs that endotracheal tube care True
must be performed include
loosening of the tapes, soiled Feedback
tapes, mobility of the tube, and These are all indicators of the need for endotracheal tube care.
alteration in skin/tissue integrity.
Tru
e
Fals
e
Endotracheal tube care is a FALSE
sterile procedure.
Tru Feedback
e This is a clean procedure.
Fals
e
FALSE
The patient should be sedated
before endotracheal tube care
Feedback
is begun.
Ideally, the patient should be awake during the care of the
Tru
endotracheal tube so you can better evaluate tolerance and
e
level of discomfort.
, Fals
e
Your assistant should hold the TRUE
endotracheal tube firmly in place
while you remove the old tapes. Feedback
Tru Holding the tube firmly in place prevents accidental extubation.
e
Fals
e
Extubation is an unwanted and TRUE
unexpected result of endotracheal
tube care. Feedback
Tru Be prepared to support the patient's airway should the tube come out.
e
Fals
e
and Answers
Questions in this set (71)
Providing endotracheal tube care is INAPPROPRIATE
________ to delegate to NAP.
Nurses may collaborate with to RESPIRATORY THERAPY STAFF
prevent cuff-related problems.
Once an ET is inserted, CAPNOGRAPHY
confirmation of correct
placement is achieved by chest
X- ray examination or _ .
Your chief concern after an ET is PATENCY
inserted and secured and the
cuff is inflated is to maintain
___________of the ET.
Properly securing an ET EXTUBATION
prevents inadvertent from
coughing or pulling
on the tube.
,The nurse auscultates the lung Observe the centimeter marking on the ET at lip or gum line.
sounds of a patient with an ET
and notes decreased breath Feedback
sounds on the left. The nurse The easiest and most cost-efficient method to determine tube
wants to verify that the ET has depth is to look at the marking made at the time of intubation on the
not moved from its original ET to see if it remains at the lip or gum line as indicated in the
position. What is the nurse's patient's record.
best initial action to determine
proper tube depth?
Request an order for a chest X-
ray examination.
Observe the centimeter marking
on the ET at lip or gum line.
Pull back on the ET and auscultate
the left lung for breath sounds.
Call respiratory care staff to verify
results of original capnography.
To prevent ventilator-associated False
pneumonia, change patient position
every 2 hours, perform oral care Feedback
every 8 hours, and keep the head To prevent ventilator-associated pneumonia, the head of the
of the bed flat. bed should be elevated 30 to 45 degrees to prevent aspiration.
Tru Oral care should be performed at least every 8 hours and position
e changes should be made every 2 hours.
Fals
e
Signs that endotracheal tube care True
must be performed include
loosening of the tapes, soiled Feedback
tapes, mobility of the tube, and These are all indicators of the need for endotracheal tube care.
alteration in skin/tissue integrity.
Tru
e
Fals
e
Endotracheal tube care is a FALSE
sterile procedure.
Tru Feedback
e This is a clean procedure.
Fals
e
FALSE
The patient should be sedated
before endotracheal tube care
Feedback
is begun.
Ideally, the patient should be awake during the care of the
Tru
endotracheal tube so you can better evaluate tolerance and
e
level of discomfort.
, Fals
e
Your assistant should hold the TRUE
endotracheal tube firmly in place
while you remove the old tapes. Feedback
Tru Holding the tube firmly in place prevents accidental extubation.
e
Fals
e
Extubation is an unwanted and TRUE
unexpected result of endotracheal
tube care. Feedback
Tru Be prepared to support the patient's airway should the tube come out.
e
Fals
e
