Author Question: While monitoring a patient during a T tube weaning trial, you notice the following: increased ... (Read 51 times)

OSWALD

  • Hero Member
  • *****
  • Posts: 580
While monitoring a patient during a T tube weaning trial, you notice the following: increased pa-tient agitation; increased heart rate (from 90 to 118/min);
 
  increased respiratory rate (from 17 to 33/min with some paradoxical motion); and premature ven-tricular contractions (PVCs) increasing to an average of 5/min. Which of the following actions would be appropriate at this time?
  a. Reconnect the patient to the ventilator with prior settings.
  b. Encourage the patient to relax, and con-tinue careful monitoring.
  c. Request that the patient be given a stat (immediate) bolus of lidocaine.
  d. Request that the patient be given a strong sedative or hypnotic.

Question 2

While monitoring a patient during a T tube weaning trial, you notice the following: an increase in heart rate from 86 to 100/min; an increase in respiratory rate from 12 to 23/min;
 
  an increase in PaCO2 from 39 to 45 mm Hg; and a decrease in PaO2 from 82 to 73 mm Hg. Which of the following actions would be appropriate at this time?
  a. Reconnect the patient to the ventilator with prior settings.
  b. Request that the patient be administered a mild sedative.
  c. Suction the patient after manual hyperin-flation or oxygenation.
  d. Encourage the patient to relax, and con-tinue careful monitoring.



Ashley I

  • Sr. Member
  • ****
  • Posts: 344
Answer to Question 1

ANS: A

Answer to Question 2

ANS: D



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Vital signs (blood pressure, temperature, pulse rate, respiration rate) should be taken before any drug administration. Patients should be informed not to use tobacco or caffeine at least 30 minutes before their appointment.

Did you know?

If you use artificial sweeteners, such as cyclamates, your eyes may be more sensitive to light. Other factors that will make your eyes more sensitive to light include use of antibiotics, oral contraceptives, hypertension medications, diuretics, and antidiabetic medications.

Did you know?

Since 1988, the CDC has reported a 99% reduction in bacterial meningitis caused by Haemophilus influenzae, due to the introduction of the vaccine against it.

Did you know?

Children of people with alcoholism are more inclined to drink alcohol or use hard drugs. In fact, they are 400 times more likely to use hard drugs than those who do not have a family history of alcohol addiction.

Did you know?

Before a vaccine is licensed in the USA, the Food and Drug Administration (FDA) reviews it for safety and effectiveness. The CDC then reviews all studies again, as well as the American Academy of Pediatrics and the American Academy of Family Physicians. Every lot of vaccine is tested before administration to the public, and the FDA regularly inspects vaccine manufacturers' facilities.

For a complete list of videos, visit our video library