The Nurse Is Assessing a Patient Who Is Intubated and on a Ventilator.When

question 13

Multiple Choice

The nurse is assessing a patient who is intubated and on a ventilator.When listening above the sternal notch with a stethoscope,the nurse notes a minimal amount of air leak at the end of inspiration.Which action by the nurse is appropriate?

• A)Remove all air from the cuff and reinflate the cuff until no air leak is present.
• B)Note that the cuff is properly inflated.
• C)Notify the health care provider.
• D)Suction the patient.

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Definitions:

Histamine

A compound involved in local immune responses, functioning as a neurotransmitter and playing a role in regulating physiological function in the gut and acting as a mediator of itching.

Arousal

A state of heightened physiological and psychological activity, involving the brain, various bodily systems, and behavior.

Asthma

A chronic inflammatory disease of the airways characterized by variable and recurring symptoms, reversible airflow obstruction, and bronchospasm.

Acetylcholine

A neurotransmitter involved in many functions including muscle movement and memory, acting as a chemical messenger in the nervous system.