What is the nurse's responsibility for the patient after he has ...

[littleanan]

What is the nurse's responsibility for the patient after he has been intubated during a code event? (Select all that apply.)
 
  a. Ventilate using a bag-mask device at a rate of 22 breaths per minute.
  b. Auscultate the epigastric area.
  c. Auscultate both lungs.
  d. Call for a chest radiograph.

Question 2

The nurse is caring for a patient who has a tracheostomy. To prevent the patient from developing an airway obstruction, the nurse assesses which of the following? (Select all that apply.)
 
  a. Patient's nutritional status
  b. Environmental humidity
  c. Existing respiratory infection
  d. Patient's ability to cough

[britb2u]

Answer to Question 1

B, C
Assist in confirmation of endotracheal tube placement by auscultating the epigastric area for lack of breath sounds and then the lungs for bilateral breath sounds. Intubation personnel usually perform secondary confirmation by using a carbon dioxide detector. Ventilate using a bag-mask device upon intubation at a rate of 8 to 10 breaths per minute. Avoid hyperventilation. Increased intrathoracic pressure due to incomplete exhalation results in reduced cardiac output. A chest radiograph usually is obtained after the patient has been stabilized to confirm placement of the endotracheal tube and central venous catheters.

Answer to Question 2

A, B, C, D
The patient's hydration and nutritional status, humidity delivered to the tracheostomy tube, the status of an existing infection, and the ability to cough are all factors that affect the amount and consistency of secretions in the tracheostomy tube and the patient's ability to clear the airway.

[littleanan]

Excellent

[mochi09]

TYSM