A patient that is intubated is demonstrating rhonchi, has a pulse oximeter of 92%, soft abdomen, heart rate 88 bpm, and blood pressure 98/54 mmHg. Which of the following is the nurse's first priority?

Question

Quizplus · Accepted Answer

Rhonchi indicate possible airway congestion or obstruction, and suctioning is a priority to ensure adequate ventilation. Contacting the physician may be necessary, but addressing the immediate respiratory concern should take priority. Increasing oxygen may also be necessary, but suctioning should come first. Dopamine may be necessary for hypotension, but the priority in this situation is addressing the respiratory concern.

A Patient That Is Intubated Is Demonstrating Rhonchi, Has a Pulse