The nurse is caring for a client who is taken off a ventilator and placed on continuous positive airway pressure (CPAP). What intervention is most appropriate for this client?
a. Administering antianxiety medications PRN
b. Administering a medication to help the client sleep
c. Telling the client to relax and let the ven-tilator do the work
d. Making sure the client is breathing spon-taneously
D
A requirement for using CPAP is that the client will be able to breathe spontaneously. Antian-xiety and sleep medications should not be administered to the client during weaning. Telling the client to relax may be helpful in some cases but does not take priority over ensuring the client's ability to breathe spontaneously.
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