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A Patient with an Oral Endotracheal Tube (ET) Has a Nursing

Question 25

Multiple Choice

A patient with an oral endotracheal tube (ET) has a nursing diagnosis of risk for aspiration related to the presence of an artificial airway. The most appropriate nursing intervention for the patient is to


A) maintain cuff pressure at minimal occluding volume to prevent gastric secretions from entering the trachea.
B) perform oral suctioning frequently and before cuff deflation.
C) remove the bite block and perform oral hygiene every 2 hours.
D) use chest physiotherapy to move secretions to large airways where they can be suctioned.

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