Respiratory Failure, ARDS and Ventilation · NCLEX Exam

Which sign suggests readiness for extubation in a mechanically ventilated patient recovering from respiratory failure?

  1. SpO₂ of 88% while on FiO₂ 0.6
  2. Spontaneous tidal volume of about 2 mL/kg with shallow breathing
  3. Adequate spontaneous tidal volume, strong cough, stable hemodynamics
  4. No spontaneous breathing attempts during the trial
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Correct answer: Adequate spontaneous tidal volume, strong cough, stable hemodynamics

Indications of readiness include adequate spontaneous tidal volumes (≈5 mL/kg), effective cough, stable vitals and good oxygenation on moderate settings.

Difficulty: Medium Question 12 of 15

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