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A nurse is caring for an adult client with an endotracheal tube. The nurse recognizes that retaping of the tube is required and prepares the tape. Which actions should the nurse take at this time? Select all that apply. Cut a piece of tape long enough to reach from one jaw, around the back of neck, to the other jaw. Measure a piece of tape to reach from the client’s spine to mouth, and then subtract 10 cm. Measure a piece of tape to reach from the client’s neck to the mouth, and then add 20 cm. Cut three separate pieces of tape with each piece measuring approximately 25 cm in length. Estimate the distance from the client’s neck to the lips, and then double it before cutting the tape.
SCIENCE
HEALTH SCIENCE
NURSING

 
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