ANCC Medical-Surgical Nursing Exam Prep

Category - Pulmonary

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While the nurse is caring for a client on a ventilator, the low-pressure ventilator alarm sounds. What should the nurse’s first action be?

Suction the secretions from the endotracheal tube.
Check the client and ventilator connections.
Administer intravenous sedation and analgesia.
Reassure the client and instruct him or her not to bite on the tube.

Explanation

Answer - B - A low-pressure ventilator alarm most likely signals a disconnection from the ventilator.

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