إنذار الضغط العالي في جهاز التنفس الصناعي يرن. المريض يكح، وتُسمع أصوات خشنة فوق القصبة. ما التصرف الصحيح؟

The ventilator’s high-pressure alarm sounds. The client is coughing, and coarse sounds are heard over the trachea. What is the correct action?

1. Increase the tidal volume
2. Disconnect and bag the client immediately
3. Suction the airway
4. Silence and reset the alarm

Answer: C) Suction the airway. High pressure means resistance to airflow, most often from secretions, coughing, a kinked tube or biting. With coughing and coarse sounds, suctioning is the fix. Silencing without fixing the cause is dangerous, and manual bagging is for when the cause is unclear or the client deteriorates.