Practice Question
The nurse assesses the port balloon on the ETT (endotracheal tube) of an intubated patient and is unsure if the balloon is properly inflated. What is the nurse's best action?
Answer Choices:
Correct Answer:
Call respiratory therapy to obtain the pressure within the balloon
Rationale:
🟦 The ETT cuff pressure must be carefully monitored to avoid complications like tracheal damage or aspiration.
🟦 Respiratory therapy has the equipment and training to measure cuff pressures, typically keeping it between 20–30 cm H₂O.
🟦 Blindly inflating or deflating the balloon can lead to overinflation (tracheal necrosis) or underinflation (air leak/aspiration).
🟦 Collaboration with the respiratory team ensures safe airway management and patient comfort.
🟦 If unsure about tube position or balloon status, cuff pressure measurement is the priority intervention.
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This question is from ATI LPN Medical surgical(Monroe College) which contains 37 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Medical-Surgical
- Answer Choices: 4