The nurse is assessing a patient with an endotracheal tube on mechanical ventilation. Which assessment finding indicates a partially deflated cuff?
a. Increased exhaled tidal volume
b. Spasmodic coughing
c. Tense test balloon on the endotracheal tube
d. Vocalizations by the patient
D
A partially deflated cuff allows secretions to enter the trachea and permits vocalization. Other signs of an underinflated cuff are decreased exhaled tidal volume, a flaccid test balloon on the tube, and gurgling on expiration. An overinflated cuff can cause spasmodic coughing and a tense test balloon on the tube.
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What are the basic parts of a medication order?
What will be an ideal response?