The nurse is providing care for the client requiring mechanical ventilation. Which action by the nurse would be inappropriate when providing care to this client?

1. Confirming airway placement by auscultating the lungs and checking the length marking of the tube at the lip
2. Assuring that tube cuff inflation is no greater than 15 cm H2O, and that there is no audible air leak
3. Assuring ventilator tubing is secured and does not pull on the client's airway
4. Verifying correct ventilator settings


Correct Answer: 2

Tube cuff inflation is normally set at 20-30 cm H2O. The other care is correct.

Nursing

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