The nurse is providing care to a patient who is mechanically ventilated. The high-pressure alarm sounds and the nurse notes the patient is biting down on the endotracheal (ET) tube. Which action by the nurse is appropriate?

Question

Quizplus · Accepted Answer

Inserting an oral airway is the appropriate action when a patient is biting down on the endotracheal tube. This prevents occlusion of the tube and ensures proper airflow. Suctioning, assessing for asymmetrical chest rise, and emptying water from the ventilator tubing do not directly address the issue of the patient biting the tube.

The Nurse Is Providing Care to a Patient Who Is