Installed node.js: npm audit security report, found 10 moderate severity vulnerabilities. What to do with these alerts?

Question

Node.js

Installed node.js. After npm install shows this message:
found 51 vulnerabilities (2 low, 43 moderate, 6 high) in 8658 scanned packages
42 vulnerabilities require semver-major dependency updates.
9 vulnerabilities require manual review. See the full report for details.
Nothing changed after npm audit fix