A nurse is caring for a client who is receiving mechanical ventilation when the low pressure alarm sounds on the ventilator. Which of the following actions should the nurse take?

Increase the client's ventilator flow rate.

Empty water from the client's ventilator tubing.

Evaluate the client for a cuff leak.

Suction the client's airway.

Answer and Explanation

The Correct Answer is C

A)   Increasing the ventilator flow rate may not address the cause of the low-pressure alarm and could potentially worsen the situation.
B)   Emptying water from the ventilator tubing is not typically necessary when the low-pressure alarm sounds.
C)   Evaluating the client for a cuff leak is essential because a leak in the endotracheal tube cuff can cause the low-pressure alarm to sound.
D)   Suctioning the client's airway is not indicated unless there are signs of airway obstruction or secretions.

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Correct Answer is D

Explanation

A. While pain assessment is important, ensuring airway patency takes priority over pain assessment in a client who has received sedation.
B. Monitoring temperature is important but is not the priority in this scenario.

C. Warmth of extremities is not as critical as assessing the airway.

D. Gag reflex assessment is essential to evaluate the client's ability to protect their airway and prevent aspiration, especially after receiving sedation.

A. Shellfish B. Eggs C. Strawberries D. Avocados

Correct Answer is B

Explanation

A. Shellfish has no known interactions with propofol.

B. Propofol, a commonly used anesthetic agent, contains egg lecithin as an emulsifier. Therefore, individuals with egg allergies are at risk of having an allergic reaction to propofol. It's essential for the nurse to identify this allergy to ensure the client's safety during the administration of anesthesia.
C. Strawberries do not interact with propofol.

D. Avocados do not interact with propofol.

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A nurse is caring for a client who is receiving mechanical ventilation when the low pressure alarm sounds on the ventilator. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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