Difficulty: Medium
Average Score: 73%
Simulated
The client diagnosed with ARDS is on a ventilator and the high alarm indicates an increase in the peak airway pressure. Which intervention should the nurse implement first?
Correct answer
A
Rationale
High airway pressure may result from kinks (A), a common cause requiring immediate check. Suctioning (B), lip line (C), and sedation (D) follow if needed.