Which of the following must be immediately performed in a patient who has just been intubated? (select all that apply)

Auscultate the chest for bilateral breath sounds

Assess the patient's blood glucose

Determine the CO2 level

Obtain a stat PCXR (Portable Chest X ray)

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Answer and Explanation

Correct Answer : A,C,D

A. Auscultate the chest for bilateral breath sounds: Auscultating the chest immediately after intubation ensures that the endotracheal tube is correctly placed in the trachea and not in the esophagus or a bronchus.

B. Assess the patient's blood glucose: Blood glucose monitoring is not immediately necessary following intubation.

C. Determine the CO2 level: Measuring end-tidal CO2 (ETCO2) is crucial to confirm that the tube is in the trachea and that ventilation is occurring effectively.

D. Obtain a stat PCXR (Portable Chest X-ray): A chest X-ray is obtained to confirm the correct placement of the endotracheal tube, ideally 2-3 cm above the carina.

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Correct Answer is C

Explanation

A. PT/INR: PT/INR is used to assess clotting function and liver synthetic function but does not directly relate to the symptoms of lethargy and confusion.

B. Urea: Urea levels are related to kidney function and protein metabolism but do not directly explain the symptoms of encephalopathy.

C. Ammonia: Elevated ammonia levels in cirrhosis can lead to hepatic encephalopathy, which presents as lethargy and confusion. The liver is unable to convert ammonia to urea, leading to its accumulation in the blood.

D. Albumin: Albumin levels are important in assessing nutritional status and fluid balance in cirrhosis but do not directly cause lethargy and confusion.

A. "A complex measurement that should only be discussed with your health care provider." B. "A measurement that should always be 120/80 unless complications are present." C. "A measurement that takes into consideration the amount of blood that your heart is pumping and the size of the vessel diameter the heart must pump against.” D. "The amount of pressure exerted on your veins by the blood."

Correct Answer is C

Explanation

A. "A complex measurement that should only be discussed with your health care provider": This response is dismissive and does not provide the patient with valuable information or education.

B. "A measurement that should always be 120/80 unless complications are present": While 120/80 mmHg is a common target, blood pressure varies based on individual health and other factors.

C. "A measurement that takes into consideration the amount of blood that your heart is pumping and the size of the vessel diameter the heart must pump against": This response accurately explains that blood pressure is the force of blood against the walls of the arteries and is influenced by cardiac output and vascular resistance.

D. "The amount of pressure exerted on your veins by the blood": Blood pressure refers to the pressure within the arteries, not veins.

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Which of the following must be immediately performed in a patient who has just been intubated? (select all that apply)

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Naxlex Comprehensive Predictor Exams

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