You are caring for a ventilated patient who is a 79 year old…

You are caring for a ventilated patient who is a 79 year old morbidly obese male with severe COPD. Current ventilator settings are SIMV with pressure support VT 600 rate 12 FiO2 40% and PEEP of 5. Current chest radiograph reveals hyper inflation with a lower lobe infiltrate. Current ABGs are within normal limits. However, the low minute ventilation alarm begins alarming and you note the minute ventilation is 2.9 liters. This alarm could be caused by: I. An over inflated cuff on the endotracheal tube II. A leak in the ventilator circuit III. A dislodged endotracheal tube IV. A pneumothorax