The intensive care nurse is assessing a group of clients. Which clients does the nurse identify as likely requiring intubation? Select all that apply.
A) A client with a closed head injury.
B) A client with severe laryngeal edema.
C) A client with projectile vomiting.
D) A client with cervical stenosis.
E) A client with multiple rib fractures.
A) A client with a closed head injury.
B) A client with severe laryngeal edema.
Explanation: A) The client with a closed head injury is in danger of a reduced level of consciousness and consequent airway collapse. The client with severe laryngeal edema is in danger of the swelling obstructing the airway. Since both are at increased risk for airway compromise, this makes intubation more likely to be included in the plans of care for these clients.
B) The client with a closed head injury and the client with severe laryngeal edema are at increased risk for airway compromise, which make intubation more likely to be included in the plans of care for these clients.
C) While projectile vomiting, cervical stenosis, and multiple rib fractures are factors that may require consideration when performing an airway assessment or intubation, these conditions are not common reasons for intubation on their own.
D) While projectile vomiting, cervical stenosis, and multiple rib fractures are factors that may require consideration when performing an airway assessment or intubation, these conditions are not common reasons for intubation on their own.
E) While projectile vomiting, cervical stenosis, and multiple rib fractures are factors that may require consideration when performing an airway assessment or intubation, these conditions are not common reasons for intubation on their own.
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