While Monitoring a Patient During a T Tube Weaning Trial

question 57

Multiple Choice

While monitoring a patient during a T tube weaning trial, you notice the following: increased patient agitation; increased heart rate (from 90 to 118/min) ; increased respiratory rate (from 17 to 33/min with some paradoxical motion) ; and premature ventricular 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 continue 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.

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Definitions:

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