The nurse is concerned that the patient will pull out the endotracheal tube.As part of the nursing management,the nurse obtains an order for

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The priority in caring for agitated patients is safety.The least restrictive methods of keeping the patient safe are appropriate.If possible,the tube or device causing irritation should be removed,but if that is not possible,the nurse must prevent the patient from pulling it out.Restraints are associated with an increased incidence of agitation and delirium.Therefore,restraints should not be used unless as a last resort for combative patients.The least amount of sedation is also recommended; therefore,neither increasing the dosage of lorazepam nor adding propofol is indicated and would be likely to prolong mechanical ventilation.

The Nurse Is Concerned That the Patient Will Pull Out