ACCS Oakes practice Exam Questions
and Answers Rated A+
A difficult intubation is anticipated with an obese pt. The decision is made to intubate by video
laryngoscopy. Which of the following is LEAST likely to be need
...
ACCS Oakes practice Exam Questions
and Answers Rated A+
A difficult intubation is anticipated with an obese pt. The decision is made to intubate by video
laryngoscopy. Which of the following is LEAST likely to be needed:
A) Cook's Exchanger
B) Rigid Stylet
C) Cuffed Endotracheal Tube
D) Video-enabled Laryngoscope ✔✔A) cook's exchanger
Video laryngoscopy involves use of a normal ET Tube with the addition of a rigid stylet, as well
as a video-enabled laryngoscope and other normal intubation equipment.
A Cook's Tube Exchanger is not necessary - this is used to exchange tubes already in place.
A 5'6" female has been transferred from Intermediate Care to Intensive Care in respiratory
distress. She is intubated with a silver-coated #7.0 Endotracheal tube. CXR immediately
following intubation shows Right Upper Lobe infiltrate with bibasilar atelectasis. The ET Tube is
noted to be approximately 4 cm above the carina.
The Respiratory Therapist would BEST recommend:
A) Initiation of broad-spectrum antibiotics for probably pneumonia
B)Withdraw Endotracheal tube at least 3 cm
C) Use tube exchanger to replace Endotracheal tube from silver-coated to a low-pressure/highvolume cuffed tube
D) Immediate V/Q Scan ✔✔Correct answer is A
This pt has gone into respiratory failure, requiring intubation. The X-ray is consistent with a
possible pneumonia diagnosis. The best option therefore is to start antibiotics.
Withdrawing ET Tube is not indicated as 4 cm is likely adequate. Pulling back 3 cm could result
in inadvertent extubation and would cause harm to patient
Use of tube exchanger is unnecessary. A silver-coated endotracheal tube is intended to help
prevent VAP
Immediate V/Q scan is not indicated - it is a poor use o
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