The nurse is caring for a client who had oromaxillary surgery a few hours ago. The client is arousable, but is still sedated following anesthesia, and sleeps deeply when not disturbed. The client's respiratory effort is adequate, but the nurse notes the client is having issues maintaining an open airway when asleep. Which airway should the nurse choose for this client?
1. Oropharyngeal airway
2. Nasopharyngeal airway
3. Endotracheal tube
4. Tracheostomy
2
Rationale 1: Because this client had oromaxillary surgery, an oral airway would not be appropriate.
Rationale 2: Because this client had oromaxillary surgery, a nasopharyngeal airway would be the best choice.
Rationale 3: The client's respiratory effort is adequate, so there would be no need for the very invasive insertion of an endotracheal tube.
Rationale 4: The client's respiratory effort is adequate, so there would be no need for the very invasive insertion of a tracheostomy.
Global Rationale: Because this client had oromaxillary surgery, an oral airway would not be appropriate, so the best choice would be a nasopharyngeal airway. The client's respiratory effort is adequate, so there would be no need for the very invasive insertion of an endotracheal tube or tracheostomy.
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