Difficulty: Medium
Average Score: 65%
Full-length
The nurse is caring for a client who is receiving mechanical ventilation. Which of the following actions is the PRIORITY?
Correct answer
D
Rationale
Ensuring the endotracheal tube is secure is the priority to prevent accidental extubation, which could lead to respiratory failure. Options A, B, and C are important but secondary: checking settings, suctioning, and monitoring saturation follow tube security.