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BS Nursing Critical Care Nursing
nmdcat.online June 6, 2026

35. A patient on mechanical ventilation is agitated and trying to pull out their endotracheal tube. What is the critical initial nursing action?

A. Immediately apply restraints
B. Assess the cause of agitation (e.g., pain, hypoxemia, delirium), and consider sedation or analgesia as ordered
✓
C. Leave the patient unattended
D. Increase the ventilator settings

📖 Additional Information

  • Immediately apply restraints
  • Assess the cause of agitation (e.g., pain, hypoxemia, delirium), and consider sedation or analgesia as ordered
  • Leave the patient unattended
  • Increase the ventilator settings

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