What priority nursing intervention would be appropriate

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Question: The chest X-ray was obtained and verified that Kerry had no obvious issues in his chest. This X-ray also verified that the endotracheal tube was in the correct space. Kerry had CT's of his head, spine, along with his chest, abdomen and pelvis. He has two large bore IV's in place. The results from the CT scan are still in progress. While waiting on the results, you notice that it looks like Kerry keeps gagging on his endotracheal tube. It even appears that he has moved his left arm to his face in an attempt to remove the breathing tube. You report this finding to the physician and they order an infusion of midazolam to sedate Kerry. You noticed that he has started to move his right arm up to his face. What priority nursing intervention would be appropriate at this time?

Start an infusion of lorazepam as soon as you are able to. Start the midazolam infusion and obtain an order for restraints. Reposition Kerry in order to prevent skin breakdown. You are worried he will be too sedated to reposition himself Have an unlicensed assistive personnel come sit at the bedside with Kerry to prevent further endotracheal

Reference no: EM133788929

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