A client with a nasotracheal tube in place has been restless and pulling at the tube.How should the nurse assess if the tube is still in place?
A)Count the client's respirations.
B)Assess the depth of the client's respirations.
C)Auscultate for bilateral breath sounds.
D)Deflate the cuff and listen for minimal leak.

Question

Quizplus · Accepted Answer

Auscultating for bilateral breath sounds is the best way to assess if a nasotracheal tube is still in place as it confirms that air is flowing through both lungs and the tube is correctly placed in the trachea. Counting the client's respirations or assessing the depth of their respirations do not provide direct information on the placement of the tube. Deflating the cuff and listening for a minimal leak may also not provide definitive evidence of proper tube placement.

A Client with a Nasotracheal Tube in Place Has Been