Practice Quiz

CNOR Operating Room Nursing

Category - Intraoperative

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The patient is being extubated at the end of the surgical procedure. The cuff has been deflated and the mouth and tube have been suctioned. What is the next step in this process?
  1. Provide ten more minutes of assisted ventilation using a bag connected to the ET tube.
  2. Flex the patient’s head down with the chin toward the chest to ease removal of the tube.
  3. Insert a suction catheter into the tube and apply suction while pulling the tube out.
  4. Using the thumb and forefinger, apply cricoid pressure to the neck while slowly pulling out the tube.
Explanation
Answer: C-The next step of the extubation process is to insert a suction catheter into the tube and apply suction while pulling the tube out. This process helps to remove secretions in the trachea while simultaneously removing the tube. The nurse should have oxygen nearby to administer after the tube has been removed in case the patient does not tolerate the procedure right away.
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