Practice Quiz

Respiratory Therapist

Category - Patient Evaluations and Recommendations

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An intubated patient has continuous thick secretions that you are unable to clear with scheduled suctioning. The secretions are interfering with mechanical ventilation.

What is your recommendation to the pulmonologist to aid in clearing secretions so the patient can be more easily ventilated?
  1. Monitor cuff pressure
  2. Bronchoscopy with biopsy
  3. Bronchoalveolar lavage
  4. None of the above
Explanation
Answer: C - Bronchoalveolar lavage would be beneficial in clearing thick, unmanageable secretions in a ventilated patient.

Monitoring the cuff pressure would not affect management of secretions. A bronchoscopy with biopsy would not be indicated unless there is an obstruction or foreign body visual by radiography that needs tissue diagnosis or removal.
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