Which nursing action is most important during the immediate post-extubation period?

Which nursing action is most important

Multiple choice — select the best answer

AEncourage the patient to eat immediately to restore strength
BRemove all oxygen supplementation as quickly as possible
CMonitor respiratory rate, SpO₂, work of breathing, and for signs of stridor or laryngospasm
DPlace the patient in Trendelenburg position to improve oxygenation

✓ Correct answer: C. Monitor respiratory rate, SpO₂, work of breathing, and for signs of stridor or laryngospasm After extubation, the nurse must closely monitor: respiratory rate and quality, SpO₂, level of consciousness, and especially for stridor/laryngospasm (from upper airway edema or laryngeal spasm). Supplemental oxygen is routinely provided initially. Reintubation equipment must be immediately available.

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