Question

A patient in the ICU has been orally intubated and on mechanical ventilation for 2 weeks after having a severe stroke. What action does the nurse anticipate the physician will take now that the patient has been intubated for this length of time?

A. The patient will be extubated and another endotracheal tube will be inserted.
B. The patient will be extubated and a nasotracheal tube will be inserted.
C. The patient will have an insertion of a tracheostomy tube.
D. The patient will begin the weaning process.

Answer 1

The physician will most likely plan for the insertion of a tracheostomy tube for a patient on mechanical ventilation for 2 weeks, as this method is safer for long-term ventilation.

Step-by-step explanation:

A patient in the ICU who has been orally intubated and on mechanical ventilation for 2 weeks after having a severe stroke can anticipate that the physician will most likely perform a procedure to insert a tracheostomy tube (C.). The extended period of intubation increases the risk of complications such as infection, and necessitates a more permanent and secure airway access. A tracheostomy tube is typically considered when long-term ventilation is expected, providing a direct airway through an incision in the neck directly into the trachea, enhancing patient comfort, and facilitating weaning from the ventilator.