Rationale: Humidified air or oxygen should be given, because the endotracheal tube bypasses the upper airways, which normally moistens air. Notepads and picture boards help to give the client some control in communication with others. Frequent assessments of nasal and oral mucosa monitor for skin breakdown and infection. Placing the client in a side-lying position prevents aspiration of fluids, which can lead to infection.
Nursing Process: Planning and Implementation
Client Need: Physiological Integrity
Cognitive Level: Analysis
Strategy: Decide what is the best action for client and situation.