Difficulty: Medium
Average Score: 82%
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
C
Rationale
Monitoring cuff pressure every 8 hours prevents tracheal damage from overinflation. Suctioning is as needed, securing isn't to the jaw, and prone positioning depends on condition.