A 45-year-old client with ARDS is mechanically ventilated in…
A 45-year-old client with ARDS is mechanically ventilated in the ICU. The nurse notes the following during an assessment:Assessment Findings:Sudden onset of severe dyspnea and restlessnessDiminished breath sounds on the right sideTrachea deviated to the leftAsymmetric chest wall movementSubcutaneous crepitus over the right chestVentilator Alarms:High-pressure alarm sounding repeatedlyVital Signs:HR: 138 bpmRR (ventilator): 24/minBP: 86/60 mmHgSpO₂: 78% on FiO₂ 100%What is the priority nursing action?
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