A patient who is intubated is having difficulty being weaned from the ventilator. What actions should the nurse take to successfully wean this patient?

Question

Select all that apply.

1. weaning in the morning
2. placing in high-Fowler's position
3. limiting activities during weaning
4. coaching on coughing during weaning
5. administering a sedative before weaning

Answer 1

Correct Answer: 1, 2, 3
Interventions to facilitate the weaning process include weaning in the morning when the patient is well-rested and alert. Weaning may be discontinued overnight to provide rest. The work of breathing increases during the weaning process and adequate rest is important. The patient should be placed in Fowler's or high-Fowler's position to facilitate lung expansion and reduce the work of breathing. Procedures and activities should be limited during weaning periods. Reducing energy expenditures and cardiac work facilitates the weaning process. The patient is intubated. Coughing will not be effective or encouraged at this time. Administering drugs that may depress respirations during the weaning process should be avoided, except as ordered at night to facilitate rest when ventilator support is provided. Sedatives or analgesics that depress respirations can impair the weaning process.