Practice Question
A nurse is caring for a client who has acute distress syndrome and is receiving mechanical ventilation. The client is restless and has an oxygen saturation of 90%. Which of the following actions shou" the nurse task
Answer Choices:
Correct Answer:
Perform in- line suctioning for the client.
Rationale:
💠 Restlessness + SpO₂ of 90% in a ventilated patient suggests airway obstruction or secretion buildup.
💠 In-line suctioning helps remove secretions while maintaining PEEP and avoiding oxygen desaturation.
💠 It’s a priority intervention before drawing labs or documentation.
💠 It improves oxygenation and reduces the risk of hypoxia-induced complications.
💠 It is safe and effective in closed ventilator circuits, preserving lung recruitment.
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This question is from RN Concept-Based Assessment Level 4 with NGN-2025 Summer which contains 129 questions.
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From Exam
RN Concept-Based Assessment Level 4 with NGN-2025 Summer
129 Questions
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- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN Concept-Based Assessment Level Exam(s)
- Answer Choices: 4