Certified Nurses Operating Room (CNOR) Practice Exam

In case of airway issues during surgery with a fire, what should be done?

1. Remove the ET tube

2. Increase oxygen flow

3. Prepare for intubation

4. Administer epinephrine

The correct answer is: Remove the ET tube

In the event of airway issues associated with a fire during surgery, the situation is critical and requires immediate action to ensure patient safety and prevent further harm. The removal of the endotracheal (ET) tube is the appropriate course of action in this scenario because it helps eliminate a potential source of ignition that could escalate the fire. Removing the ET tube also allows for the establishment of a clear airway, enabling the surgical team to manage the airway more safely and effectively. Focusing on airway integrity and safety is paramount when fire is involved. The other options may not adequately address the risks associated with an ongoing fire. For instance, increasing oxygen flow can inadvertently worsen a fire by providing more fuel, while preparing for intubation may not be necessary if the airway is being cleared by removing the tube. Administering epinephrine would be more appropriate in cases of severe allergic reactions or anaphylaxis, rather than directly addressing airway safety in the context of a fire. Establishing a clear understanding of how to respond to airway emergencies, especially those involving fires, is crucial for surgical teams to ensure patient safety during such critical situations.