To prevent the patient from removing an endotracheal tube, the nurse's initial intervention will include:
A) Application of soft wrist restraints
B) Anesthetizing the patient
C) Use of distraction by the family or a television
D) Prevention of visitation or stimulation by family members
Ans: C
Feedback: To prevent tube removal by the patient, the nurse can explain to the patient and family the purpose of the tube, distract the patient through one-to-one interaction with the nurse and family or with television, and maintain comfort measures.
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