Reference no: EM133725884

Question

The nurse cares for a client who has been on positive pressure-controlled mechanical ventilation for 24 hours. During the respiratory assessment, the nurse finds an increase in adventitious lung sounds. Additionally, the nurse notes a temperature of 100 °F (37.8 °C). The client's skin is pale and dry. The nurse notes a decrease in tidal volume on the ventilator. Which actions should the nurse take next? Select all that apply.? Prepare the client for emergent chest tube insertion. Turn the client to one side while maintaining head elevation. Collaborate with respiratory therapy for chest physiotherapy. Suction the client to remove excess secretions. Contact the provider for a prescription for antibiotics. Verify that the head of the bed is elevated at least 30-45 degrees. Swab the client's mouth with 0.12% chlorhexidine oral rinse.