Asked by Jonathan Taveras on Jul 07, 2024
Verified
The nurse is caring for a patient on mechanical ventilation.The nurse determines that the endotracheal tube is properly placed by which assessment?
A) Auscultating both lungs and watching the rise and fall of both sides of the chest
B) Monitoring and comparing the blood pressure in both arms
C) Observing and measuring inspiratory and expiratory rates
D) Checking the settings on the ventilator and the low-pressure and high-pressure alarm settings
Mechanical Ventilation
A healthcare procedure that employs a device to support or take over the natural process of breathing.
Endotracheal Tube
A flexible tube inserted through the mouth or nose into the trachea (windpipe) to maintain an open airway, facilitate breathing or administer anesthesia.
Auscultating
The act of listening to the internal sounds of the body, typically using a stethoscope, as part of a medical examination.
- Demonstrate knowledge on confirming the proper placement of an endotracheal tube for patients on mechanical ventilation.
Verified Answer
GF
Gonzata FloydJul 13, 2024
Final Answer :
A
Explanation :
Verify placement of the endotracheal tube by auscultating the lungs and assessing chest wall symmetry.This ensures that the tube has not migrated into the right main-stem bronchus.Many factors can cause blood pressure fluctuations and fluctuations in respiratory rate.Always assess the patient first.Once the patient is determined to be safe,the settings for the ventilator alarm can be checked as well.
Learning Objectives
- Demonstrate knowledge on confirming the proper placement of an endotracheal tube for patients on mechanical ventilation.