Question

A patient who is receiving positive pressure ventilation is scheduled for a spontaneous breathing trial (SBT). Which finding by the nurse is most likely to result in postponing the SBT?

a. New ST segment elevation is noted on the cardiac monitor.
b. Enteral feedings are being given through an orogastric tube.
c. Scattered rhonchi are heard when auscultating breath sounds.
d. hydromorphone (Dilaudid) is being used to treat postoperative pain.

Answer 1

The finding by the nurse that is most likely to result in postponing the spontaneous breathing trial (SBT) is new ST segment elevation noted on the cardiac monitor.

Step-by-step explanation:

The finding by the nurse that is most likely to result in postponing the spontaneous breathing trial (SBT) is a. New ST segment elevation is noted on the cardiac monitor. ST segment elevation on the cardiac monitor indicates myocardial ischemia or infarction, which would need to be addressed before proceeding with the SBT. The other options listed (b. Enteral feedings being given through an orogastric tube, c. Scattered rhonchi heard when auscultating breath sounds, and d. Hydromorphone (Dilaudid) being used to treat postoperative pain) are not contraindications for conducting an SBT.