Which assessment finding would cause extubation to be delayed?
A mechanically ventilated child is being assessed for extubation. A.
Alert and oriented with occasional confusion
B.
Evidence that prior pulmonary infection has resolved
C.
Peak inspiratory ventilator pressure of 14 cm H2O
D.
3+ pitting pedal edema, 1-lb weight gain overnight
ANS: D
Fluid overload puts the child at risk for developing respiratory distress, so the child with edema and weight gain should not be weaned from the ventilator at this time. The other parameters are acceptable for weaning.
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