The nurse is caring for a 47-year-old female who presented t…

The nurse is caring for a 47-year-old female who presented to the emergency room (ER) with complaints of shortness of breath, tachycardia, and feeling anxious. One day prior to the client arriving in the ER, she had returned to the United States after a nine hour plane ride.  The client did not walk much during the flight and states “I slept most of the plane ride.”  The client denies any prior medical history. The medical team is evaluating the client for a pulmonary embolus (PE). In caring for this client, the nurse knows the following to be accurate: (Select all that apply)

The client has acute lung injury (ALI) and is ventilated wit…

The client has acute lung injury (ALI) and is ventilated with an FiO2 of 50%, 10cmH2O of PEEP, tidal volume of 750mL, and a rate of 16 breaths per minute. Coarse rhonchi are heard over the upper airways and the client has become agitated with an O2 saturation of 85%. Which priority action should the nurse take?