The pressure reading on the ventilator of a client receiving mechanical ventilation is fluc-tuating widely. What is the correct action to take for this problem?
A. Determine whether there is an air leak in the client's endotracheal tube cuff.
B. Increase the tidal volume by at least 100 mL or by the client's weight in kg.
C. Assess the client's oxygen saturation to determine the adequacy of oxygenation.
D. Disconnect the ventilator from the client and use a manual resuscitation bag until the machine has been checked.
C
A widely fluctuating pressure reading is one indication of inadequate flow and oxygenation. The client may be air hungry" from hypoxia. Check the client's oxygen saturation to determine the adequacy of oxygenation and, if the saturation is less than adequate, increase the flow rate setting on the ventilator.
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