Immediately after moving the oral endotracheal airway to the other side of the client's mouth, the low pressure alarm sounds. What should the nurse do first?
1. Providing oral care
2. Suctioning the airway
3. Checking for correct tube placement
4. Checking tube cuff inflation
3
Rationale 1: Oral care can be done later.
Rationale 2: Suctioning should be done if secretions are present however this is not a cause for a low pressure alarm.
Rationale 3: In the event of a low pressure alarm the placement of the artificial airway needs to be assessed.
Rationale 4: The cuff pressure can be checked after tube location is confirmed.
Global Rationale: In the event of a low pressure alarm the placement of the artificial airway needs to be assessed. Oral care can be done later. Suctioning should be done if secretions are present however this is not a cause for a low pressure alarm. The cuff pressure can be checked after tube location is confirmed.
You might also like to view...
A professional strongly encouraged institutionalization so the parents could focus on care of their other family members. Which of the following suggestions would be appropriate for the nurse to make to the parents?
a. As the expert pointed out, institutionalization will reduce family stress. b. The child has a right to an education in the least-restrictive setting. c. The child will eventually adapt to whatever choice the parents make. d. The choice of what to do is entirely the parents'.
What is the drug of choice used to treat osteomyelitis?
A) Calcitonin B) Mithracin C) Alkaline phosphatase D) Potassium hydrochloride
The nurse is planning care for a client with cancer. For which reason should the nurse recommend that the client increase the intake of omega-3 fatty acids?
a. Reduce diarrhea b. Improve cachexia c. Heal mouth ulcers d. Prevent immunosuppression
The health care provider is treating a patient with complaints of severe abdominal pain and confirmed infection with H. pylori. Which of the following medication combinations would the nurse expect the health care provider to order?
a. cimetidine (Tagamet) and metronidazole (Flagyl) b. cimetidine (Tagamet), tetracycline, and cefuroxime (Ceftin) c. clarithromycin (Biaxin), amoxicillin (Amoxil), and esomeprazole (Nexium) d. amphotericin B, cimetidine (Tagamet), and bismuth (Pepto-Bismol)