NCLEX-RN Exam Practice

Category - Respiratory

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?
  1. Stridor
  2. Occasional pink-tinged sputum
  3. Respiratory rate of 24 breaths a minute
  4. 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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