While monitoring a patient during a T tube weaning trial, you notice the following: increased pa-tient agitation; increased heart rate (from 90 to 118/min);
increased respiratory rate (from 17 to 33/min with some paradoxical motion); and premature ven-tricular 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 con-tinue 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.
ANS: A
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