Difficulty: Medium
Average Score: 68%
Full-length
The nurse is caring for a client who is receiving mechanical ventilation. Which of the following actions should the nurse prioritize?
Correct answer
B
Rationale
Ensuring the endotracheal tube is secure prevents accidental extubation, maintaining airway and ventilation. ABGs (A), sedatives (C), and settings (D) are important but secondary to airway security.