Mechanical Ventilation Exam Questions With Complete Solutions Graded A+

MECHANICAL VENTILATION EXAM QUESTIONS WITH COMPLETE SOLUTIONS \GRADED A+ A comatose patient with a possible cervical spine injury is intubated with a nasal endotracheal (ET) tube. What should the nurse recognize as a disadvantage of a nasal ET tube in comparison with an oral ET tube? a. Requires the placement of a bite block b. Is more likely to cause laryngeal trauma c. Requires greater respiratory effort in breathing d. Requires the placement of an additional airway to keep the trachea open - ANSWER -c. Requires greater respiratory effort in breathing A nasal endotracheal (ET) tube is longer and smaller in diameter than an oral ET tube, creating more airway resistance and increasing the work of breathing. Suctioning and secretion removal are also more difficult with nasal ET tubes and they are more subject to kinking thanare oral tubes. Oral tubes may require a bite block to stop the patient from biting the tube and may cause more laryngeal damage because of their larger size In preparing a patient in the ICU for oral ET intubation, what should the nurse do that is most important for successful intubation? a. Place the patient supine with the head extended and the neck