While Monitoring a Patient During a T Tube Weaning Trial

question 28

Multiple Choice

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 hyperinflation or oxygenation.
• D) Encourage the patient to relax, and continue careful monitoring.