A patient who is intubated is exhibiting rhonchi and has a pulse oximeter of 92%, soft abdomen, heart rate of 88 bpm, and blood pressure of 98/54 mmHg. Which would be the nurse's first priority?
1. suction the patient
2. contact the physician
3. increase the oxygen
4. start dopamine
Correct Answer: 1
The presence of rhonchi suggests the patient needs to be suctioned. The other assessment data do not require contacting the physician or increasing the oxygen. The relative hypotension can be caused by the ventilation and does not require dopamine for blood pressure support.
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