Identify the action the nurse should take first when the low tidal volume alarm on a positive pressure, volume-cycled ventilator begins and continues to sound.
A)Check for water buildup in the ventilator tubing.
B)Disconnect the oxygen supply to the ventilator.
C)Check for separation of the ventilator tube from the endotracheal tube.
D)Encourage the client to cough to remove excessive secretions.

Question

Quizplus · Accepted Answer

Checking for separation of the ventilator tube from the endotracheal tube should be the first action taken because if separation has occurred, the client may not be receiving adequate ventilation and oxygenation. This is an urgent issue that requires immediate attention. Checking for water buildup, disconnecting the oxygen supply, or encouraging coughing may also be appropriate actions, but they should be done after ensuring that the client is properly connected to the ventilator.

Identify the Action the Nurse Should Take First When the Low