CCRN Nursing Exam Prep - Adult Critical Care

Category - Medical Surgical

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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:

Facilitate his verbal communication
Maintain sterility of the ventilation system
Assess his response to the equipment
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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