Explanation
•To prevent damage to the tracheal mucosa, the nurse should deflate the cuff or use the minimal leak technique.
•The patient's head of bed should be in semi-Fowler's position to decrease edema.
•Diet orders should be held due to edema and impaired swallowing.
•Suctioning the patient every 30 minutes is excessive and could cause damage to the airway. The patient should be encouraged to cough and deep breath.