Question

The new nurse, caring for a 3-month-old client who is sedated in the intensive care unit following surgery, needs to prevent skin breakdown. Which action performed by the new nurse would cause the charge nurse to intervene?

a) Using a soft gel dressing on pressure points.
b) Changing the infant's position every 2 hours.
c) Applying a moisture barrier ointment to the diaper area.
d) Using adhesive tape to secure the endotracheal tube.

Answer 1

Using adhesive tape to secure the endotracheal tube would cause the charge nurse to intervene.

Step-by-step explanation:

Out of the given options, the action that would cause the charge nurse to intervene is d) Using adhesive tape to secure the endotracheal tube. In the intensive care unit, it is important to prevent skin breakdown in sedated patients by using appropriate measures. Using adhesive tape to secure the endotracheal tube can cause skin irritation and damage, leading to potential skin breakdown. Instead, alternative methods like using a securement device or soft dressings should be used to ensure the tube is secured without causing harm to the skin.