ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following interventions should the nurse include to reduce the client's risk for ventilator-associated pneumonia?
Correct Answer: C
Rationale: The correct answer is C: Swab the client's mouth with chlorhexidine solution. This intervention helps reduce the risk of ventilator-associated pneumonia by decreasing the oral bacteria that can be aspirated into the lungs. Chlorhexidine has antimicrobial properties that can help prevent the growth of harmful bacteria in the mouth. Performing oral care once a day (
A) may not be sufficient to reduce the risk of pneumonia. Brushing the client's teeth with a firm-bristle toothbrush (
B) can cause trauma to the oral mucosa and increase the risk of infection. Raising the head of the bed 15° for oral care (
D) is a good practice to prevent aspiration but may not be as effective as using chlorhexidine in reducing the risk of ventilator-associated pneumonia.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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