The nurse is caring for a client with increased intracranial pressure (ICP) who has secretions pooled in the throat. Which intervention should the nurse implement first?

D Suction the client using the in-line suction, wait 30 seconds, and repeat. B Assess the clientÔÇÖs lung sounds and check for peripheral cyanosis. A Set the ventilator to hyperventilate the client in preparation for suctioning. C Turn the client to the side to allow the secretions to drain from the mouth.