The APRN is monitoring a newly intubated patient. He appears to be very anxious and “fighting” the ventilator. What would be the most appropriate action?


Selected Answer: Consider removing the patient from the vent and bag then with 100% FiO2 then reassess vent function. Be sure to check the endotracheal tube as well as the dislodgement or displacement. Use the DOPE mnemonic (displacement, obstruction, pneumothorax and equipment failure) to make assessments. Also try reassuring the patient to reduce their anxiety. You may also consider sedation if deemed appropriate. Correct Answer: Remove the patient from the ventilator and bag him with 100% FIO2. If the patient improves, then the problem is with the ventilator. Respiratory professional should check the ventilator function. If the patient does not improve, the problem is with the patient. If death appears imminent, airway obstruction pneumothorax, and dislodged endotracheal tube must be considered as the cause. If death is not imminent, close examination of the patient and chest X-ray should be completed. The need for additional sedation should be considered as well. Response Feedback: [None Given]

Work with us at nursingstudyhub, and help us set you up for success with your nursing school homework and assignments, as we encourage you to become a better nurse. Your satisfaction is our goal