Which of the following patients, who are all receiving mechanical ventilation, is most likely a candidate
for a spontaneous awakening trial?
Select single answer choice.
A
a patient who is receiving PRN morphine
B
a patient who is receiving a propofol infusion
C
a patient who isreceiving 100% oxygen and 20 cm H2O pressure of
PEEPD
a patient who is receiving a vecuronium (Norcuron) infusion
{{Ans- Answer: B
A spontaneous awakening trial should be considered for a patient who is receiving a continuous
infusion of a sedating drug and/or an analgesic drug and who meets the hemodynamic criteria. A
patient who is receiving a propofol infusion is a potential candidate for a spontaneous awakening
trial
as long as the hemodynamic criteria are met. A patient who is receiving PRN morphine may be
a candidate for a spontaneous breathing trial, but that patient does not require an infusion to
be stopped in order to be awakened. The remaining 2 choices do not meet the criteria for
performingeithera spontaneous awakening trial or a spontaneous breathing trial.
-While the code team is performing resuscitative efforts, many of the patient's family members start to
cry and pray, while other family members lie down on the floor in the corner of the room. Which of the
following demonstratesthe best action forthe nurse to take at this time?
Select single answer choice.
A
Ensure that a member of the code team serves as a family presence facilitator and clearly communicates
the treatmentstrategiesto the family.
B
Call security to escort the family members to the waiting room due to their disruptive behavior.C
Encourage the family members to leave the patient care area because they are extremely distressed.D
Ask the family members to leave the patient care area because they may suffer anxiety from remainingin
the room.
{{Ans- Answer: A
It is important to offer families the opportunity to witness the efforts of the health care team during
apatient's cardiopulmonary resuscitation. Research suggests that allowing family members to stay
witha patient during this time may decrease their rates of post-traumatic stress disorder,
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