A child is being weaned from the ventilator. He is awake and alert but getting increasingly tired. Which action by the nurse is the most appropriate?
A.
Cluster nursing care so the child is able to get uninterrupted periods of rest.
B.
Collaborate with other health team members to slow or stop the weaning process.
C.
Draw a blood sample for blood gas analysis, and compare the results to the last blood gas values.
D.
Have all of the child's visitors leave to allow the child to take a short nap.
ANS: B
Weaning from the ventilator is an individualized process that takes into account several different parameters. A child who is becoming increasingly fatigued is not tolerating the weaning. The nurse should collaborate with other members of the health-care team to adjust the weaning process. Rest is important to the critically ill child, but is not the most important action at this time. Laboratory work should be reviewed, but the results may be normal despite the child's fatigue level at this point.
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