A client with injuries from a motor vehicle crash is intubated for respiratory support.The nurse notes that the client is fighting the ventilator and attempting to pull out the endotracheal tube.What should the nurse do to reduce this client's risk of developing respiratory alkalosis?
A) Administer a sedative as prescribed.
B) Apply wrist restraints.
C) Teach the client to take slow, deep breaths.
D) Discuss removing the endotracheal tube with the healthcare provider.

Question

Quizplus · Accepted Answer

A) For a client being mechanically ventilated, the only way to reduce rapid respirations might be to provide a sedative. Applying wrist restraints to a client who is demonstrating anxiety with an endotracheal tube might increase the client's anxiety. The client is being mechanically ventilated, which means there is a problem with maintaining the airway. The client will not be able to take slow, deep breaths at this time. The reason for the endotracheal tube is to maintain the client's airway after chest trauma. Removing the tube could lead to a collapse of the airway and a life-threatening situation.
B) For a client being mechanically ventilated, the only way to reduce rapid respirations might be to provide a sedative. Applying wrist restraints to a client who is demonstrating anxiety with an endotracheal tube might increase the client's anxiety. The client is being mechanically ventilated, which means there is a problem with maintaining the airway. The client will not be able to take slow, deep breaths at this time. The reason for the endotracheal tube is to maintain the client's airway after chest trauma. Removing the tube could lead to a collapse of the airway and a life-threatening situation.
C) For a client being mechanically ventilated, the only way to reduce rapid respirations might be to provide a sedative. Applying wrist restraints to a client who is demonstrating anxiety with an endotracheal tube might increase the client's anxiety. The client is being mechanically ventilated, which means there is a problem with maintaining the airway. The client will not be able to take slow, deep breaths at this time. The reason for the endotracheal tube is to maintain the client's airway after chest trauma. Removing the tube could lead to a collapse of the airway and a life-threatening situation.
D) For a client being mechanically ventilated, the only way to reduce rapid respirations might be to provide a sedative. Applying wrist restraints to a client who is demonstrating anxiety with an endotracheal tube might increase the client's anxiety. The client is being mechanically ventilated, which means there is a problem with maintaining the airway. The client will not be able to take slow, deep breaths at this time. The reason for the endotracheal tube is to maintain the client's airway after chest trauma. Removing the tube could lead to a collapse of the airway and a life-threatening situation.

A Client with Injuries from a Motor Vehicle Crash Is