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. Smoke inhalation injuries primarily affect the respiratory tract, not just the skin.
B. Airway compromise and pulmonary edema can quickly develop following smoke inhalation due to thermal injury, chemical irritation, or inflammation. Early recognition and intervention are critical to prevent respiratory failure.
C. Smoke inhalation injuries often lead to immediate and potentially life-threatening complications, such as airway edema, carbon monoxide poisoning, and respiratory distress.
D. While individuals with pre-existing respiratory conditions may be more vulnerable, smoke inhalation injuries can occur in anyone exposed to smoke in a fire and are not limited to those with underlying conditions.
Correct Answer is C
Explanation
A. An elevated heart rate can be a sign of hypovolemia or stress response but is not the most reliable indicator of adequate fluid resuscitation.
B. Serum hemoglobin levels may remain elevated due to hemoconcentration and are not the best indicator of resuscitation effectiveness.
C. Urine output greater than 0.5 mL/kg/hr is the most reliable and practical indicator of adequate fluid resuscitation in burn clients. It reflects renal perfusion and overall circulatory status.
D. Clear breath sounds are important but do not directly reflect the effectiveness of fluid resuscitation.
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