Which of the following factors facilitate aspiration? I. using muscle relaxants II. assuming a semirecumbent position III. applying endotracheal tube cuff pressures greater than 25 cm H2O IV. using small diameter feeding tubes
A. I only
B. I, IV only
C. I, II, III only
D. II, III, IV only
ANS: A
A. Correct response: The endotracheal tube increases the risk of developing pneumonia. Despite the cuff of the endotracheal tube, aspiration has been detected in 20% to 77% of intubated patients. Factors that facilitate aspiration are the supine position, low endotracheal tube cuff pressure (>20 to 25 cm H2O), heavy sedation, large size feeding tubes, and muscle relaxants.
B. Incorrect response: See explanation A.
C. Incorrect response: See explanation A.
D. Incorrect response: See explanation A
You might also like to view...
The "blueprint" for giving care to the resident is the:
A. physician's order sheet. B. nursing progress notes. C. care plan. D. flow sheet.
In what is known as the preeruptive systemic effect, ________ is incorporated into the developing tooth's mineralized structure during the course of tooth development
Fill in the blank(s) with correct word
Adrenergic medications mimic the effects of the:
A. sympathetic nervous system B. parasympathetic nervous system C. both D. neither
The fingers are ____ to the elbow.
A. distal B. superior C. inferior D. ventral