Difficulty: Medium
Average Score: 80%
Simulated
A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following actions should the nurse take?
Correct answer
B
Rationale
Providing oral care every 4 hours prevents infection and maintains oral health. Tube placement is checked more frequently (e.g., every shift or after movement). Suctioning hourly is excessive unless needed. Supine position increases aspiration risk; semi-Fowler's is preferred.