Practice Quiz

ANCC Medical-Surgical Nursing Exam Prep

Category - Pulmonary

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A client had a respiratory arrest and required endotracheal intubation. Which auscultory findings would indicate correct placement of the tube?
  1. Auscultate bilateral breath sounds and observe the chest wall rising and falling.
  2. Auscultate stomach gurgling when ventilating the client and observe no rise or fall of the chest wall.
  3. Auscultate breath sounds only on the right and observe rise and fall of the chest wall on the right.
  4. Auscultate stomach gurgling when ventilating the client and observe chest rise only on the left side of the chest.
Explanation
Answer - A - An endotracheal tube has been correctly placed when it is located approximately 3 to 4 centimeters above the carina. Ventilation of correct placement is done by auscultating the chest for equal bilateral symmetrical rise and fall of the chest with ventilation.
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