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The nurse notes that a patient's endotracheal tube (et), which was at the 22-cm mark, is now at the 25-cm mark and the patient is anxious and restless. which action should the nurse take next?

Sagot :

Listen to the patient's breath sounds

First, the nurse should listen for unilateral breath sounds to see if the ET tube has been moved into the right mainstem bronchus. In that case, quick help will be required to adjust the tube. The other actions are equally acceptable, but identifying and fixing tube malposition is the most important course of action.

Endotracheal intubation inhibits the cough reflex and interferes with normal conciliary function, which increases the production of airway secretions and reduces the capacity to expel them.

To maintain airway patency and remove secretions, endotracheal tube (ETT) suction is required, which improves oxygenation and ventilation in a ventilated patient.

Infants that have been intubated frequently undergo ETT suction. Maximizing secretion removal with the least amount of procedure-related side effects should be the aim of ETT suction.

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