Difficulty: Medium
Average Score: 90%
Simulated
A nurse is caring for a client who is receiving positive pressure mechanical ventilation. Which of the following interventions should the nurse implement to prevent complications?
Correct answer
B,C,D,E
Rationale
The correct interventions are B, C, D, and E. Administering pantoprazole helps prevent stress ulcers common in ventilated clients. Verifying ventilator settings ensures proper oxygenation and ventilation. Elevating the head of the bed minimizes risk of aspiration and ventilator-associated pneumonia. Repositioning the endotracheal tube prevents pressure ulcers and airway injury. Choice A is incorrect as restraints are not recommended unless absolutely necessary.