Practice Quiz

CCRN Critical Care Nursing

Category - Adult

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When preparing to remove an endotracheal tube, the nurse should NOT do which of the following:
  1. Get the help of another nurse to hold the tube while you untape the tube.
  2. Deflate the cuff before moving the endotracheal tube.
  3. Extubate the endotracheal tube if no air leak is detected around the deflated cuff.
  4. Suction during extubation of the endotracheal tube to remove secretions retained at the end of the tube.
Explanation
Answer: C - When preparing to remove an endotracheal tube, the nurse should NOT proceed with extubation if there is no air leak detected around the deflated cuff. The absence of an air leak can indicate marked tracheal edema which can cause total airway obstruction if the endotracheal tube is removed.
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