The pilot balloon on the endotracheal tube of a client being mechanically ventilated is completely deflated. What is the consequence of this situation?
A. The client's lungs may not be receiving the set tidal volume.
B. The client has no airway and must be reintubated.
C. The endotracheal tube is too small for the client.
D. The client's residual volume is too low.
A
The pilot balloon indicates whether the endotracheal tube cuff is inflated or deflated. A deflated balloon means that the cuff is also deflated and there is no longer a seal around the tube to pre-vent air from escaping. Thus, some of the air being moved into the client's airway by the venti-lator is escaping through the client's trachea before it reaches the lower airways and alveoli.
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CINAHL is a(n):
a. Popular periodical b. Internet site c. Scholarly journal d. Literature database
A nurse obtains a health history on a client prior to administering prescribed sumatriptan succinate (Imitrex) for migraine headaches. Which condition should alert the nurse to hold the medication and contact the health care provider?
a. Bronchial asthma b. Prinzmetal's angina c. Diabetes mellitus d. Chronic kidney disease
The home care nurse is examining a three-day-old infant. The child's skin on the sternum is yellow when blanched with a finger. The parents ask the nurse why jaundice occurs. The best response from the nurse is:
A. "The liver of an infant is not fully mature, and doesn't conjugate the bilirubin for excretion." B. "The infant received too many red blood cells after delivery because the cord was not clamped immediately." C. "The yellow color of your baby's skin indicates that you are breastfeeding too often." D. "This is an abnormal finding related to your baby's bowels not excreting bilirubin as they should."
Carrying out procedures in the least stressful manner to the child is called ___________
Fill in the blank(s) with correct word