medium · NCLEX-RN risk-reduction
A client under moderate sedation has a respiratory rate of 10/min and is 'snoring.' The nurse performs a jaw-thrust maneuver, and the snoring stops, the respiratory rate increases to 14/min, and the EtCO2 returns to baseline.
How should the nurse evaluate this trajectory?
- The intervention was successful, but the client requires continuous observation for recurrence.
- The client has fully recovered and no further airway interventions will be needed, for this client.
- The maneuver was unnecessary because the EtCO2 would have corrected itself eventually, for this client.
- The nurse should now administer naloxone to prevent another episode.
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