Final answer:
The priority is to assess and address the cause of the high pressure alarm on the ventilator for an intubated client receiving ventilatory assistance.
Step-by-step explanation:
The priority when the high pressure alarm is sounding on the ventilator for a client who is intubated and receiving ventilatory assistance is to assess and address the cause of the high pressure. High pressure alarms indicate a potential problem with the lungs, airway, or the settings on the ventilator. It could be due to increased secretions, kinks in the tubing, or a dislodged endotracheal tube.
First, the nurse should quickly visually assess the client's airway and the ventilator tubing for any obvious issues. Next, they should suction the airway to remove secretions if necessary. If the issue persists or worsens, the nurse may need to adjust the ventilator settings or consider repositioning the client.
Immediate attention to the high pressure alarm is important because it could indicate compromised oxygenation and ventilation, which can lead to respiratory distress or failure if not addressed promptly.