Mosby's Test 3 questions with correct answers

Endotracheal Tube and Tracheostomy Tube Cuff Care - Answer ... Which statement regarding endotracheal tube and tracheostomy tube cuffs is accurate? - Answer Cuff pressure should be maintained between 27 and 41 cm H2O to decrease the risk of mucosal damage and establish an effective seal. While injecting air into the cuff, the nurse notes that there is no audible leak on inhalation during ventilation with the MRB, and the patient is unable to speak. Which intervention is the most appropriate? - Answer Connect the patient to the ventilator to implement mechanical ventilation because cuff inflation is appropriate. Which factor should the nurse consider when developing a plan of care for a patient with an endotracheal tube in place? - Answer Cuff pressure should be measured every shift and maintained between 20 and 30 mm Hg to decrease the risk of tracheal injury. While assessing a patient with a tracheostomy tube, the nurse notes audible air through the patient's nose and observes that the pilot balloon is deflated. What should the nurse do? - Answer Assess the patency of the cuff and notify the practitioner because these are indications that cuff integrity may have been lost. An older adult patient has been intubated for 3 weeks. The patient has experienced numerous episodes of hypotension. Current ventilator settings are as follows: fraction of inspired oxygen, 50%; PEEP, +15 cm H2O; tidal volume, 500 ml; and a set respiratory rate of 16 breaths/min. When planning the patient's care, what is the most important factor for the nurse to consider? - Answer This patient has an increased risk of tracheal stenosis and necrosis, which are more likely to occur because of a history of hypotension and prolonged time of intubation.