The Intensive Care Nurse Is Caring for a Client Who

The intensive care nurse is caring for a client who has Guillain-Barré syndrome.The nurse notes that the client's vital capacity has declined to 12 mL/kg,and the client is having difficulty clearing secretions.Which is the nurse's priority action?

A) Place the client in a high Fowler's position.
B) Prepare the client for elective intubation.
C) Administer oxygen via a nasal cannula.
D) Auscultate for breath sounds.