163. A patient with severe respiratory failure is on mechanical ventilation. The nurse observes increasing anxiety and agitation. What critical nursing action?
A.
Increase oxygen saturation immediately
B.
Assess for underlying causes (e.g., hypoxemia, hypercapnia, pain, delirium), and administer appropriate sedation/analgesia
✓
C.
Restrain the patient
D.
Administer a diuretic
📖 Additional Information
Increase oxygen saturation immediately
Assess for underlying causes (e.g., hypoxemia, hypercapnia, pain, delirium), and administer appropriate sedation/analgesia