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nurse2mrow nurse2mrow
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Posts: 7336
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10 years ago
The client being mechanically ventilated has become more restless over the course of the shift. What is the nurse’s best action?
A.   Darken the room and ask visitors to leave.
B.   Document the observation as the only action.
C.   Administer a dose of pain medication or sedative.
D.   Check the client's oxygen saturation by pulse oximetry.
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Staff Member
Educator
10 years ago
D
Increasing restlessness in a client being mechanically ventilated may mean that the client is not receiving sufficient oxygen and may be air hungry. It can also be a manifestation of pain. When in doubt, determining the adequacy of ventilation has the highest priority.
Mastering in Nutritional Biology
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nurse2mrow Author
wrote...
9 years ago
Thank you for this, it helped me understand it perfectly.
wrote...
Staff Member
Educator
9 years ago
Hey, no worries.
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