If the pilot balloon of a trach or ETT tube is inflated, what can be inferred about the cuff?
The cuff is deflated
The cuff is inflated
The cuff is partially inflated
The cuff is not related to the pilot balloon
The Correct Answer is B
A. If the pilot balloon is inflated, the cuff cannot be deflated.
B. The pilot balloon is connected to the cuff; when the pilot balloon is inflated, it indicates that the cuff inside the trachea or airway is also inflated, providing a seal.
C. Partial inflation cannot be determined solely by the pilot balloon’s inflation status.
D. The pilot balloon is directly related to the cuff and serves as an indicator of its inflation status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Elevated heart rate may indicate stress or early hypovolemia but is less urgent than airway concerns.
B. Difficulty swallowing suggests possible airway edema or inhalation injury, which can rapidly progress and compromise the airway—this is the highest priority.
C. Urinary output of 25 mL/hr is low (less than 0.5 mL/kg/hr in most adults) and concerning, but airway issues take precedence.
D. Pain is important to manage but is not immediately life-threatening compared to airway compromise.
Correct Answer is B
Explanation
A. Inserting a urinary catheter is important for monitoring output but not the immediate priority.
B. Maintaining the airway is the top priority in burn patients, especially with burns involving the chest and upper body, due to the risk of airway edema and inhalation injury that can rapidly compromise breathing.
C. Pain management is essential but comes after securing airway and circulation.
D. Fluid resuscitation is critical during the resuscitation phase but airway management takes precedence to ensure oxygenation.
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