ECCO Caring for Patients with Pulmonary Disorders: Part 2 | Questions and Answers(A+ Solution guide)

A patient has been on mechanical ventilation for two days. After two hours on an SBT, RR is 7, and SpO2 is 90%. Which is indicated? - Stop the trial, and place the patient back on ventilator. The patient can continue the trial as long as the RR stays 35 or 8 and the oxygen saturation is or = 88%. Which is true about tracheostomy tube placement? - The surgical approach varies from the percutaneous approach primarily in that an incision is made during the procedure rather than a puncture through the skin. In caring for a patient on mechanical ventilation, how can a nurse reduce over-sedation, immobility, and the development of delirium? - Implement ABCDEF bundle. In performing an SAT, which assessment should prompt the nurse to restart sedation at half the previous dose and titrate to goal? - Respiratory rat 38 per minute A patient is on mechanical ventilation and the SAT is in progress. The patient develops RR 36 and SpO2 87%. Which is indicated? - Stop the SAT and restart sedation at half the pretrial rate. Which nursing intervention is indicated immediately after the patient is intubated emergently. - Assess vital signs. While weaning a patient from short-term ventilation, the nurse should observe for which indications that the patient is not tolerating the weaning? - The SBT and weaning should be stopped for any of the following: RR 35 or 8, oxygen saturation 88%, respiratory distress, mental status change, decreasing spontaneous Vt, and acute cardiac dysrhythmias. Which is indicated for patients requiring ongoing tracheostomy management? - Keep a spare tracheostomy at the bedside.