When weaning the client from the ventilator, which item would the nurse document in addition to routine assessments performed for any client requiring mechanical ventilation with an artificial airway in place?
1. The details and length of the weaning trial
2. The client's oxygen saturation
3. The client's breath sounds
4. The client's respiratory rate
Correct Answer: 1
When weaning the client from mechanical ventilation, it is important to document the length of time the client tolerated being off the ventilator, and how the client tolerated the process. The remaining data would be documented on any client requiring mechanical ventilation.
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