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Actions following intubation are: ensuring correct tube placement auscultation of both lung fields securing the tube taking a chest x-ray

A respiratory therapist is adjusting the ET tube cuff pressure on a patient receiving positive pressure ventilatory support.  The therapist is using the minimum leak technique to adjust the volume in the cuff.  After insertion of air into the cuff, the therapist auscultates the neck and notices a slight passage of air around the cuff at the top of each mechanical inspiration.  The therapist should

Which of the following complication(s) may occur by airway suctioning? hypoxemia decreased intracranial pressure mucosal injury bradycardia

What cuff pressure should NOT be exceeded in an artificial airway?

When continuous mechanical ventilation is to be initiated for a patient and no settings are specified, which of the following would be the most acceptable initial tidal volume setting?

Which of the following would cause the high-pressure alarm to sound during mechanical ventilation with a volume ventilator? decreased compliance increased resistance leak in the humidifier kinked tubing increased secretions

After 8 hours with little improvement (HR 112, RR 22, SpO2 82%, BP 106/51), the physician asks for your suggestions. What would you recommend?

Which of the following is a contraindication for noninvasive positive pressure ventilation (NPPV)?

You are checking a ventilator and notice that the peak pressure has decreased from 30 to 15 cm H2O and the volume on the exhaled tidal volume display has dropped from 800 to 400 ml. Which of the following may have happened? The patient has become disconnected from the circuit. The exhalation tubing has loosened. The cuff on the endotracheal tube has been deflated or has developed a leak. The temperature probe site is not capped tightly. There is water in the tubing.

What actions may be necessary if the high-pressure alarm on a mechanical ventilator repeatedly sounds? Determine if suctioning is indicated. Auscultate the chest for bilateral breath sounds. Determine if there is a kink in the tube. Check the system for leaks.