Main Answer:
The correct response is A) Signs that endotracheal tube care must be performed include loosening of the tapes, soiled tapes, mobility of the tube, and alteration in skin or tissue integrity.
Therefore, the correct answer is A)
Step-by-step explanation:
Endotracheal tube care is crucial in maintaining the integrity of the airway and ensuring optimal patient outcomes. The key indicators for the necessity of endotracheal tube care, as outlined in option A, encompass various aspects of tube stability and patient well-being. Loosening of the tapes can compromise the secure placement of the endotracheal tube, leading to potential displacement and inadequate ventilation. Soiled tapes may pose an infection risk, emphasizing the importance of maintaining cleanliness in the critical care setting.
Mobility of the tube is another significant consideration, as any movement can impact its proper positioning and compromise respiratory support. Alterations in skin or tissue integrity around the tube site may indicate potential complications, underscoring the need for vigilant care. This comprehensive approach, encompassing both physical and environmental factors, ensures that the nurse is attentive to various aspects of patient care.
These signs provide a clear framework for when endotracheal tube care is necessary, aligning with best practices in intensive care nursing. By addressing these indicators promptly, the nurse contributes to the prevention of complications and promotes optimal patient outcomes. This approach aligns with the principles of patient-centered care, emphasizing proactive interventions based on careful assessment and observation.
Therefore, the correct answer is A)