A client receiving mechanical ventilation shows a sudden increase in peak airway pressure. What action should the nurse take first to address this finding?
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Inspect the system for any obstruction or kink.
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Initiate manual ventilation using a resuscitation bag.
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Adjust the oxygen concentration for the client.
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Suction the client to eliminate possible secretions.
The correct answer is to check the system for any obstruction or kink as mechanical issues (e.g., blocked or repositioned tubing) are common causes of increased airway pressure. This approach prioritizes a systems-based evaluation before proceeding to interventions such as suctioning or manual ventilation. Increasing oxygen settings without identifying the underlying cause is inappropriate because it does not address the problem. Suctioning should only follow if there are indications of secretion build-up after clearing the system.
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Physiological Integrity
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