When checking for proper placement of an endotracheal tube in an adult patient on chest radio-graph, it is noted that the distal tip of the tube is 2 cm above the carina. Which of the following actions would you recommend?
a. Withdraw the tube by 2 to 3 cm (using tube markings as a guide).
b. Withdraw the tube by 7 to 8 cm (using tube markings as a guide).
c. Advance the tube by 2 to 3 cm (using tube markings as a guide).
d. Advance the tube by 7 to 8 cm (using tube markings as a guide).
ANS: A
If the tube is malpositioned, you should remove the old tape and reposition the tube, using the centimeter markings as a guide.
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