Asked by Devante Matthews on Jul 07, 2024
Verified
The nurse is evaluating a patient to determine whether the endotracheal tube cuff is properly inflated.Which findings indicate proper inflation? (Select all that apply. )
A) Exhaled tidal volume is 50 mL less than the tidal volume set on the ventilator.
B) Air leak is heard with a stethoscope only at the end of inspiration.
C) The patient is able to vocalize.
D) Gastric contents are noted in airway secretions.
Endotracheal Tube Cuff
A balloon at the end of an endotracheal tube that, when inflated, seals the airway, allowing for mechanical ventilation and protection against aspiration.
Ventilator
A mechanical device used to support or mimic the process of breathing by moving breathable air into and out of the lungs.
Tidal Volume
The volume of air inhaled or exhaled during a normal respiratory cycle.
- Apply correct techniques for assessing cuff inflation in patients with endotracheal tubes to ensure proper ventilation and minimize the risk of aspiration.
Verified Answer
MU
Muhammad UsmanJul 12, 2024
Final Answer :
A,B
Explanation :
The exhaled tidal volume from mechanical ventilation should not be less than 50 mL of the delivered tidal volume to ensure appropriate ventilation of the lungs.The air leak should be audible only with a stethoscope at the end of inspiration.Excessive phonation and gastric secretions in the airway indicate a partially deflated cuff.
Learning Objectives
- Apply correct techniques for assessing cuff inflation in patients with endotracheal tubes to ensure proper ventilation and minimize the risk of aspiration.