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.

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Definitions:

Social Norms

Unwritten rules that govern the expectations of social behavior in a group or society.

Superstition

A belief or practice resulting from ignorance, fear of the unknown, trust in magic or chance, or a false conception of causation.

Social Norms

Shared, unspoken rules that govern behavior in society or among members of a particular group, influencing actions and attitudes.

Thomas Szasz

A psychiatrist known for his criticisms of psychiatry and the concept of mental illness.