A 68-year-old woman was admitted to the ICU with pneumonia and was intubated when she developed progressive hypoxemia.She has been on the ventilator for 5 days and has been tolerating this therapy well.The patient has suddenly become severely agitated and appears to be fighting the ventilator.The ventilator's high pressure alarm is sounding continuously.The respiratory therapist disconnects the patient from the ventilator and begins manual ventilation with 100% oxygen and PEEP.The resuscitator bag is difficult to squeeze,breath sounds are present on the left with no adventitious sounds and absent on the right side,and percussion reveals hyperresonance over the right side.The most appropriate action to address this situation is which of the following?
A) Pull the endotracheal tube back until bilateral breath sounds are heard.
B) Administer a bronchodilator and suction the endotracheal tube.
C) Extubate the patient and reintubate with a larger endotracheal tube.
D) Insert a 14-gauge needle in the second intercostal space, midclavicular line, right side.
Correct Answer:
Verified
Q1: The respiratory therapist enters the room of
Q2: The respiratory therapist is called to the
Q4: The flow-volume loop below is representative of
Q5: The respiratory therapist is assessing a mechanically
Q6: Removing a patient from a ventilator to
Q7: The graphics below indicate which of the
Q8: At 1030 the respiratory therapist is
Q9: When an alarm is activated on a
Q10: The graphic below for a patient receiving
Q11: The respiratory therapist enters the room of
Unlock this Answer For Free Now!
View this answer and more for free by performing one of the following actions
Scan the QR code to install the App and get 2 free unlocks
Unlock quizzes for free by uploading documents