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CEN Practice Exam (Certified Emergency Nurse)

Category - Respiratory

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You are caring for a patient who had a radical neck dissection. The endotracheal tube has just been removed. Which of the following signs would you want to report to the physician immediately?

Stridor
Occasional pink-tinged sputum
Respiratory rate of 24 breaths a minute
Basilar crackles on the right side

Explanation

Answer: A - The physician will need to be notified if the patient develops stridor. Stridor is a high-pitched, coarse sound heard over the trachea. This is an indication of airway edema, which puts the patient at risk for airway blockage.

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CEN Practice Exam (Certified Emergency Nurse)

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CEN Practice Exam (Certified Emergency Nurse)

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