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?

Suction the client's airway.

Empty water from the client's ventilator tubing.

Increase the client's ventilator flow rate.

Evaluate the client for a cuff leak.

Answer and Explanation

The Correct Answer is D

D. Evaluate the client for a cuff leak is the most appropriate action in response to a low-pressure alarm on the ventilator. A cuff leak can cause a drop in ventilator pressure, triggering the alarm. Assessing the client's cuff for leaks and addressing any identified issues can help resolve the alarm and ensure adequate ventilation.
A. Suctioning the client's airway is not the appropriate action in response to a low-pressure alarm on the ventilator.
B. Emptying water from the client's ventilator tubing could be a valid action to take if there is excess condensation or water buildup in the ventilator tubing causing the low-pressure alarm. However, it's not the first action to consider, as other causes should be ruled out first.
C. Increasing the ventilator flow rate may help maintain adequate pressure in the ventilator circuit and address the low-pressure alarm if the cause is related to insufficient airflow. However, adjusting the flow rate should be done cautiously and based on the client's respiratory status and ventilator settings.

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Correct Answer is C

Explanation

This option addresses the client's financial concerns by helping in finding resources or programs that can help cover the cost of medication, such as patient assistance programs or low-cost medication options.

A, B - does not address the client's concerns

D. An occupational therapist has no role in the social welfare of a client.

A. Lower the head of the bed to semi-Fowler's. B. Change infusion to lactated Ringer's and maintain rate. C. Slow infusion rate and contact the provider. D. Administer prescribed corticosteroids.

Correct Answer is C

Explanation

A. This position may help alleviate dyspnea by promoting better lung expansion. However, it does not address the underlying issue of fluid overload or the need for urgent action. While helpful for comfort, this action alone is insufficient.
B. Switching the IV fluid to lactated Ringer's solution does not address the issue of fluid overload and is likely to worsen the situation.
C. Slowing the infusion can help mitigate further fluid overload, and contacting the provider is crucial for further evaluation and intervention. This option prioritizes the client’s safety and addresses the symptoms being experienced.
D. Corticosteroids are not typically used to address dyspnea and hypertension associated with IV fluid administration.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client who reports that they cannot afford their prescribed medication. Which of the following statements should the nurse make?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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