A patient who is intubated is demonstrating rhonchi and has a pulse oximeter reading of 92%, soft abdomen, heart rate 88 bpm, and blood pressure 98/54 mmHg. Which intervention is the nurse's first priority?
1. Suction the patient.
2. Contact the physician.
3. Increase the oxygen.
4. Start dopamine.
1
Rationale 1: The presence of rhonchi suggests the patient needs to be suctioned.
Rationale 2: The assessment data indicate an issue that can be taken care of by the nurse.
Rationale 3: The assessment data indicate sufficient oxygenation.
Rationale 4: The relative hypotension can be caused by the ventilation; the patient does not require dopamine for blood pressure support.
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