Which of the following statements is correct concerning endotracheal tube cuff management?
a. The cuff should be deflated every hour to minimize pressure on the trachea.
b. A small leak should be heard on inspiration if the cuff has been inflated using the minimal leak technique.
c. Cuff pressures should be kept between 40 to 50 mm Hg to ensure an adequate seal.
d. Cuff pressure monitoring should be done once every 24 hours.
B
The minimal leak technique consists of injecting air into the cuff until no leak is heard and then withdrawing the air until a small leak is heard on inspiration. Problems with this technique include difficulty maintaining positive end-expiratory pressure and aspiration around the cuff.
You might also like to view...
A nurse is caring for a patient who is taking lithium for mania. The nurse's assessment includes a notation of a lithium serum level of 2.4 mEq/L. The nurse anticipates seeing what?
A) Fine tremors of both hands B) Slurred speech C) Clonic movements D) Nausea and vomiting
The nurse assesses the patient's postoperative wound and determines that the wound is inflamed, most likely because of an infection, when noting what classic symptoms? (Select all that apply.)
A) Heat around the site of the wound B) Redness around the site of the wound C) Increase in reports of pain D) Edema at the site of the wound E) Serosanguineous drainage from the wound
A new client had been isolating herself at home and has stayed in her room since admission to the mental health unit. The nurse would: Select all that apply
A) Provide feedback to the client on efforts to socialize. B) Immediately send the client to group therapy. C) Wait until the client's depression lifts to interact. D) Make frequent brief contacts. E) Participate with the client in occupational therapy.
A nurse identifies those who are at risk for familial stress. Which of the following persons exemplifies the sandwich generation?
A) A 50-year-old who balances the care of an 82-year-old parent and a 20-year-old child B) A 58-year-old whose elderly parents have been forced to live in separate care facilities C) A 72-year-old who deals with own health problems with the care of a grandchild D) An 83-year-old who is the sole caregiver for the 79-year-old spouse