An 87-Kg Male Patient,orally Intubated with a Size 7

Multiple Choice

An 87-kg male patient,orally intubated with a size 7.5 mm inner diameter (ID) endotracheal tube,is being mechanically ventilated in the pressure-controlled continuous mandatory ventilation (PC-CMV) mode.During patient rounds,both the low-pressure and low-volume alarms are sounding persistently on the ventilator.Upon observation of the patient,the respiratory therapist hears murmuring from the patient,with audible sounds during inspiration.The respiratory therapist notes the position of the endotracheal tube is 21 cm at the gum line,measures the cuff pressure,and adds 3 mL of air to the cuff.To make an appropriate seal,it requires 44 cm H₂O.The respiratory therapist should do which of the following?

A) Change to a larger size endotracheal tube.
B) Add air to the cuff and clamp the pilot tube.
C) Check the position of the endotracheal tube.
D) Reposition the endotracheal tube in the mouth.