Question

The nurse is prioritizing care for a client on a ventilator. What are essential nursing interventions for this client?

a) Encourage deep breathing exercises.
b) Administer sedatives to promote relaxation.
c) Assess the client's lung sounds.
d) Limit fluid intake to prevent overload.

Answer 1

Essential nursing interventions for a client on a ventilator include assessing lung sounds, encouraging deep breathing exercises, and administering sedatives for relaxation.

Step-by-step explanation:

Essential nursing interventions for a client on a ventilator include:

1. Assess the client's lung sounds: This is important to monitor the effectiveness of ventilation and identify any potential complications.
2. Encourage deep breathing exercises: Deep breathing helps to expand the lungs, improve oxygenation, and prevent complications such as pneumonia.
3. Administer sedatives to promote relaxation: Sedatives can help reduce anxiety and promote comfort for the client on the ventilator.

Limiting fluid intake is not an essential nursing intervention for a client on a ventilator. In fact, ensuring adequate hydration is important to prevent complications such as thickening of respiratory secretions.