After Change-Of-Shift Report on a Ventilator Weaning Unit,which Patient Should

question 39

Multiple Choice

After change-of-shift report on a ventilator weaning unit,which patient should the nurse assess first?

• A) Patient who failed a spontaneous breathing trial and has been placed in a rest mode on the ventilator
• B) Patient who is intubated and has continuous partial pressure end-tidal CO₂ (PETCO₂) monitoring
• C) Patient with a central venous oxygen saturation (ScvO₂) of 69% while on bilevel positive airway pressure (BiPAP)
• D) Patient who was successfully weaned and extubated 4 hours ago and now has no urine output for the last 6 hours

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Definitions:

Developing Trust

The process of building confidence and reliability in relationships, whether personal or professional, over time.

Keep Promises

The commitment to fulfilling what one has agreed or vowed to do, an essential element in building trust and integrity in relationships.

Consider Points

To take into account specific facts or arguments when making a decision or forming an opinion.

Leader-centered Decision Making

A leadership approach where decisions are predominantly made by the leader rather than being collaborative or democratic.