A client develops inspiratory stridor, retractions, and increasing work of breathing shortly after extubation. What is the nurse’s priority action?

Question

Accepted Answer

B. Apply humidified oxygen and notify the provider/prepare for possible reintubation — Stridor after extubation suggests airway swelling/obstruction. Priorities are airway support and rapid escalation (humidified O2, RT/provider, prepare for advanced airway if needed).

Answer

A. Encourage the client to cough forcefully

Answer

C. Offer oral fluids to soothe the throat

Answer

D. Place the client flat to reduce anxiety