Type MCSA The chest X ray of a patient who was recently intubated shows the

Type mcsa the chest x ray of a patient who was

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Question 15Type: MCSAThe chest X-ray of a patient who was recently intubated shows the endotracheal tube located in the right bronchus. The nurse recognizes that which intervention should be implemented? 1. The tube needs to be withdrawn slightly.2. The tube needs to be inserted further.
3. The tube is correctly placed.4. The tube is incorrectly attached to the ventilator.Correct Answer: Rationale 1: The right bronchus is easy to intubate due to the anatomy of the lung. If the tube is located in the right bronchus, it will need to be withdrawn slightly so that both lungs can be ventilated.Rationale 2: The tube does not need to be inserted further.Rationale 3: The tube is not correctly placed.Rationale 4: This finding does not mean that the tube is incorrectly attached to the ventilator. 1 Global Rationale: Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 28-2 Question 16Type: MCSAA patient who is intubated is demonstrating rhonchi and has a pulse oximeter reading of 92%, soft abdomen, heart rate 88 bpm, and blood pressure 98/54 mmHg. Which intervention is the nurse’s first priority? 1
Cognitive Level: Analyzing Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 28-6 Question 17Type: MCSAWhich physician’s order should the nurse question for a patient who is intubated and being mechanically ventilated? 1 Global Rationale: Cognitive Level: Analyzing Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 28-6

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