Difficulty: Medium
Average Score: 81%
Simulated
The nurse is caring for a client on a ventilator and the alarm goes off. Which action should the nurse implement first?
Correct answer
B
Rationale
Checking the ventilator (B) is the first action to identify the alarmÔÇÖs cause (e.g., disconnection, obstruction), per the ABCs. Notifying the therapist (A) delays intervention. Elevating the bed (C) is irrelevant. Assessing oxygen saturation (D) is secondary to addressing the ventilator issue.