Safety and Emergency Care · NCLEX Exam

A patient on a ventilator alarm sounds “high pressure”. What is the immediate action by the nurse?

  1. Turn off the ventilator and ventilate the patient manually with a bag
  2. Check for kinks, secretions, biting on the tube, or other obstruction
  3. Silence the alarm and continue care until the alarm sounds again
  4. Lower the ventilator pressure settings without first assessing the cause
Show answer and explanation

Correct answer: Check for kinks, secretions, biting on the tube, or other obstruction

High pressure alarm indicates possible obstruction or secretions; immediate check required – safety/emergency priority.

Difficulty: Medium Question 11 of 20

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