The nursing manager is collaborating with health-care providers to determine appropriate candidates for ventilator weaning in the pediatric intensive care unit. Which child is the best candidate?
A.
Oxygen requirement: 60%
B.
Peak inspiratory pressure: 32 cm H2O
C.
Spontaneous tidal volume: 2 mL/kg
D.
Ventilator rate: 6 breaths/minute
ANS: D
Signs that a child is a good candidate for ventilator weaning include oxygen requirements of less than 40%, peak inspiratory pressure of 16-25 cm H2O, spontaneously initiated breaths with tidal volume of 4-6 mL/kg, and a ventilator rate of 6-10 breaths/minute. The child whose ventilator rate is 6 breaths/minute is the best candidate of these children.
You might also like to view...
A client has long-standing diabetes mellitus. Which finding alerts the nurse to decreased kidney function in this client?
a. Urine specific gravity of 1.033 b. Presence of glucose in the urine c. Presence of ketone bodies in the urine d. Sustained elevation in blood pressure
A nurse manager is discussing the "five rights of clinical delegation?" Which statement indicates understanding? (Select all that apply.)
a. "The nurse should determine if the task can safely be delegated.". b. "The nurse should determine if this is a task that will fit into schedule.". c. "The nurse should delegate the task to the right person.". d. "The nurse should determine whether this is a task that would enhance learning.". e. "The nurse should provide feedback to the delegate.".
A client is being evaluated in the emergency department following a burn injury at home. The client has second- and third-degree burns to the right and left arms, back, and both posterior legs
Using the rule of nines, the nurse would calculate this client's burn as being: 1. 36%. 2. 45%. 3. 54%. 4. 63%.
A home care nurse witnesses a mother yelling at her 2 year old to quit crying because it gives everyone a headache. The home care nurse should:
1. Make sure the child is safe, remove the mother from the situation, and contact social services and the police for help. 2. Ask the mother to stop yelling because a 2 year old cannot understand that crying is no good. 3. Explain to the mother that a 2 year old needs to cry to be understood. 4. Contact the police to investigate for child abuse.