11. A client has just been weaned from ventilation therapy. While working closely with a respiratory therapist, what other member of the health team should be consulted first?
11. A client has just been weaned from ventilation therapy. While working closely with a respiratory therapist, what other member of the health team should be consulted first?
. Dietitian, because high carbohydrate intake increases carbon dioxide production.
. Social worker, to initiate appropriate case management.
. Speech therapist, to help in resuming oral communication.
. Physical therapist, to improve strength in leg muscles for ambulation.
Test-Taking Tip
Think priority and the nursing concept of adaptation during the weaning process. Short-term interventions (Answer 1) have the priority over long-term management (Answers 2 and 4); Answer 3 is inappropriate. Because the focus of the question is the respiratory system, choose the option that relates to respiration (i.e., carbon dioxide).
Content Area: Adult Health, Respiratory; Integrated Process: Nursing Process, Planning; Cognitive Level: Application; Client Need/Subneed: Safe and Effective Care Environment/Management of Care/Collaboration with Interdisciplinary Team
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Answer 1 is correct because nutrition plays an essential role in respiratory care. The increased carbon dioxide production from a high carbohydrate intake would promote hypercapnea and respiratory acidosis, adding to the pulmonary workload. Answer 2 is incorrect because, although essential to the management of care, it is not a priority at this stage of respiratory transition. Answer 3 is incorrect because the neural and muscle control of speech has not been affected; therefore, retraining is not necessary. Answer 4 is incorrect at this point because, although ambulation improves circulation, the respiratory adaptation and workload of breathing are the priority for this client.