What recommendation might the nurse give to the physician if a client on a ventilator shows increased peak inspiratory pressures?

Prepare for the Lippincott Respiratory Exam with multiple choice questions and detailed explanations. Enhance your knowledge and boost your confidence for success!

If a client on a ventilator demonstrates increased peak inspiratory pressures, it often indicates that the patient is experiencing increased resistance in the airway or reduced lung compliance. These conditions can arise from various factors, such as secretions in the airway, bronchospasm, or changes in lung mechanics.

In this context, initiating IV sedation may be a recommendation for several reasons. Sedation can help relax the patient, which might reduce the work of breathing and potentially lower the peak inspiratory pressures by decreasing respiratory muscle activity and thus minimizing airway resistance. When patients are agitated or anxious, it can lead to increased respiratory efforts that exacerbate peak pressures.

Other options, while they may be relevant in different contexts or for other interventions, do not directly address the immediate concern of elevated peak inspiratory pressures. For example, providing pain medication could help if pain is contributing to stress or discomfort, but it does not specifically target the underlying issue related to respiratory mechanics. Starting a high-protein diet is beneficial for nutritional support but does not affect ventilatory mechanics directly. Increasing the ventilator rate might provide more minute ventilation but could also escalate peak pressures if the underlying issue isn't resolved.

Thus, considering the patient's respiratory status and the potential for relieving distress while addressing

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