Eddie, a plane crash victim, undergoes endotracheal intubation and positive pressure ventilation. The most immediate nursing intervention for him at this time would be to:
  1. Facilitate his verbal communication
  2. Maintain sterility of the ventilation system
  3. Assess his response to the equipment
  4. Prepare him for emergency surgery
Explanation
Answer - C - Assess his response to the equipment. It is a primary nursing responsibility to evaluate effect of interventions done to the client. Nothing is achieved if the equipment is working and the client is not responding.
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