Practice Quiz

CCRN Critical Care Nursing

Category - Adult

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The doctor has just placed an endotracheal tube in a patient and the nurse is preparing to secure the tube. The nurse should do all of the following except:
  1. Suction the mouth and dry the tube before taping.
  2. Check the reference mark on the tube to ensure correct placement.
  3. Assess for bilateral breath sounds.
  4. When securing the ties at the end of the tape, make a knot behind the patient’s neck.
Explanation
Answer: D - When securing an endotracheal tube, the nurse should do everything EXCEPT to secure the ties of the knot behind the patient’s neck. This could quickly develop into a pressure ulcer as the patient lies on it. Instead the knot should be tied on the side of the head.
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