Brenda is a student nurse who is working on a long-term rehabilitation unit. She is providing care for Mrs. Reynolds, a 46-year-old woman who was the victim of a violent crime and suffered a head injury. Mrs
Reynolds has an endotracheal tube which is secured with tape. The tape is crusted with dried secretions. Brenda is has been asked to provide personal hygiene for Mrs. Reynolds and needs to replace the tape. What is the best way for Brenda to remove the tape? A. Soak it with warm moist washcloths.
B. Pull it gently away from the skin.
C. Saturate it with denatured alcohol.
D. Soak it with adhesive remover.
A
When patients have nasogastric, feeding, or endotracheal tubes inserted through the nose, change the tape anchoring the tube at least once a day. When the tape becomes moist from nasal secre-tions, the skin and mucosa can easily become macerated (softened by soaking). Friction from a tube causes tissue injury. Anchor tubing correctly with tape or fixative devices to minimize ten-sion or friction on the nares.
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