A pulse oximeter on a patient with a tracheostomy shows 89% saturation. The patient has a heated humidifier with a 40% air-entrainment tracheostomy collar
A rapid assessment shows no secretion production and equal breath sounds. Which of the fol-lowing is the most appropriate first step?
a. Increase the oxygen delivered through the flowmeter.
b. Increase the air-entrainment device to 60%.
c. Apply positive pressure with bag-valve ventilation.
d. Check to see whether water is collected in the gas-delivery tube.
ANS: D
The condensation collected in the gas-delivery tube must be removed because it becomes an ob-struction that disrupts gas and humidity delivery to the patient. The other choices disregard the simplest step, which should be taken first.
You might also like to view...
On assessment of the midsection of a 32-year-old male who was struck by a car, you find an abdominal evisceration with several loops of his large intestine exposed. The abdomen appears to have a clean-cut laceration and the bleeding is controlled. Which of the following is the BEST approach toward managing the exposed intestines?
A) Leave the abdominal contents in the place in which they were found and transport immediately. B) Gently replace the intestines after moistening with sterile saline solution. C) Cover the abdomen with an occlusive dressing of aluminum foil. D) Moisten a sterile dressing with saline solution and cover the abdominal contents.
Which of the following would be the more common route for nosocomial pathogens to be trans-mitted?
a. Directly patient to patient b. Fecal-oral route c. Aerosol route d. Via the health care worker
The ________ thermometer is designed for use in the ear and measures infrared energy emitted from the eardrum.
Fill in the blank(s) with the appropriate word(s).
An 8-ounce serving of orange juice contains 26 grams of carbohydrates. How many grams of carbohydrates are in a 12-ounce serving?Answer: ____________
What will be an ideal response?