MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The nurse is assisting with an endotracheal insertion for a patient in respiratory failure.Which nursing action will ensure that the endotracheal tube is placed in the appropriate position?
A
Obtain a chest x-ray for confirmation of tube placement.
B
Observe condensation in the endotracheal tube.
C
Listen to breath sounds on the anterior chest wall.
D
Observe the patient’s oxygen saturation level
Explanation: 

Detailed explanation-1: -Chest radiography A chest radiograph can be used to confirm correct tube position within the trachea, which should be just below the level of the vocal cords and well above the carina. Various techniques have been described to achieve tube positioning above the carina prior to X‐ray confirmation.

Detailed explanation-2: -Background: The sniffing position, a combination of flexion of the neck and extension of the head, is considered to be suitable for the performance of endotracheal intubation. To place a patient in this position, anesthesiologists usually put a pillow under a patient’s occiput.

Detailed explanation-3: -On the chest radiograph, position of an ETT is determined by the location of its tip in relation to the carina. The position of tip of ETT should be 5-7 cm above the carina in the neutral position of neck.

There is 1 question to complete.