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Assess the cause of the agitation.
🔍Assessing the cause of agitation is the first and most important step in addressing behavioral changes in a mechanically ventilated client.
🧪Agitation may be due to hypoxia, pain, fear, or discomfort, and identifying the underlying cause ensures safe and targeted interventions.
🧠Responding without an assessment, such as using restraints or sedation immediately, may mask critical clinical issues like decreased oxygenation or worsening illness.
👩⚕️The nurse's role involves using critical thinking and the nursing process, starting with assessment, before taking action.
📌Core Message
Always begin with assessment when a client experiences sudden agitation on mechanical ventilation to identify and address the underlying cause.
This question is from Med-Surg LPN Exam-Monroe college which contains 37 questions.
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