Author Question: When weaning the client from the ventilator, which item would the nurse document in addition to ... (Read 32 times)

jc611 · **on:** Jun 25, 2018

When weaning the client from the ventilator, which item would the nurse document in addition to routine assessments performed for any client requiring mechanical ventilation with an artificial airway in place?

1. The details and length of the weaning trial
2. The client's oxygen saturation
3. The client's breath sounds
4. The client's respiratory rate

Question 2

Immediately after moving the oral endotracheal airway to the other side of the client's mouth, which action by the nurse is the priority?

1. Providing oral care
2. Suctioning the airway
3. Checking for correct tube placement
4. Checking tube cuff inflation

bhavsar · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1

When weaning the client from mechanical ventilation, it is important to document the length of time the client tolerated being off the ventilator, and how the client tolerated the process. The remaining data would be documented on any client requiring mechanical ventilation.

Answer to Question 2

Correct Answer: 3

Because of the risk of tube dislocation, as soon as the tube is repositioned, the nurse should assess proper placement. Only after assuring the tube is properly placed would the nurse perform the other actions as indicated.