You are caring for a child with muscular dystrophy who is on a home ventilator. The boy's father called 911 after noticing his son repeatedly attempting to coughsomething that is atypical for this patient. The father states that he believes the child's tracheostomy tube may be dislodged, and he is unsure what to do. Your assessment reveals that the inner cannula appears to be dislodged. Which of the following is your best course of action?
A) Detach the home ventilator, orally intubate the trachea, and reattach the ventilator to the ET tube.
B) Deflate the cannula cuff and remove the cannula, then hyperventilate the patient.
C) Transport, with an early alert that a respiratory therapist will be needed.
D) Attempt to reposition the inner cannula with sterile Magill forceps.
Question 2
PID may be difficult to distinguish from appendicitis in the field.
Indicate whether the statement is true or false
A child with a hearing impairment wears a hearing aid (as noted in his left ear).
In 2008, the U.S. economy suffered a gaping wound as several trillion dollars were ripped out of it.
Cretinism can result in a child born to a mother who was iodine deficient during early pregnancy
Child Development: Principles and Perspectives
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