Answer :
Final answer:
If a client's heart rate and respiratory rate increase while suctioning an endotracheal tube, the nurse should stop suctioning immediately. Continuation or intensification may cause further distress or discomfort, and any alterations in procedure should be made under the direction of a doctor.
Explanation:
When a nurse is providing care to a client with an endotracheal tube that requires suctioning, it's essential to closely monitor changes in the client's heart rate and respiratory rate. If the client's heart rate and respiratory rate increase, the appropriate priority action for the nurse to take is to stop suctioning immediately (option b). Continuation or intensification of suctioning may lead to further complication since it indicates distress or discomfort in the patient. Administering a sedative medication (option c) or increasing the suction pressure (option d) must be done under the direction of a doctor. The respiratory rate is closely regulated when oxygen demand increases and changes in these numbers may indicate the patient is not tolerating the procedure well.
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