An ICU patient with an endotracheal tube is at risk for ventilator-associated pneumonia. What is one way to prevent VAP in this patient?

Elevating the head of the bed

Increasing sedative use

Minimizing oral care

Lowering the head of the bed

Answer and Explanation

The Correct Answer is A

A. Elevating the head of the bed (usually 30–45 degrees) helps prevent aspiration, which is a key risk factor for ventilator-associated pneumonia.
B. Increasing sedative use can depress cough and respiratory effort, increasing VAP risk.
C. Minimizing oral care increases bacterial colonization and risk of infection.
D. Lowering the head of the bed increases the risk of aspiration and VAP.

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Correct Answer is D

Explanation

A. This is incorrect

B. This is incorrect

C. This is incorrect

D. Anterior trunk = 18%

One entire leg = 18%

Total = 18% + 18% = 36%

A. "A piece of healthy skin will be removed from an unburned area and grafted over the burned area." B. "Dead tissue will be non-surgically removed." C. "Large incisions will be made in the eschar to improve circulation." D. "This procedure involves placing the client into a shower and removing the dead tissue."

Correct Answer is C

Explanation

A. This describes a skin graft procedure, not an escharotomy.
B. Non-surgical removal of dead tissue refers to debridement, which is different from escharotomy.
C. Escharotomy involves making large incisions through the tough, burned eschar to relieve pressure and restore circulation to the affected limb or area, preventing complications such as compartment syndrome.
D. This describes a hydrotherapy session for wound care, not escharotomy.

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An ICU patient with an endotracheal tube is at risk for ventilator-associated pneumonia. What is one way to prevent VAP in this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has burns over the anterior (front) trunk and the entire left leg. Using the Rule of Nines, what percentage of the total body surface area (TBSA) is burned?

Correct Answer is D

Explanation

A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is scheduled for an escharotomy. The client's spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate?

Correct Answer is C

Explanation

Which of the following is a specialized feature of pulmonary artery pressure monitoring?

A nurse in the emergency department is caring for a client who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention?

Which factors determine the severity of a burn injury?

A nurse is caring for a client with an electrical burn. The client states that since the wound on the skin is small, the burn must not be too bad. Which of the following is the best response by the nurse?

A nurse is caring for a patient on a ventilator in the critical care unit. The nurse understands which of the following are common manifestations of ventilator- associated pneumonia?

What is wedge pressure?

A nurse is developing a plan of care for a client who is rehabilitating from major burns. Which of the following interventions should the nurse include to provide emotional support?

A patient with 45% total body surface area (TBSA) burns and weighing 80 kg requires fluid resuscitation using the Parkland formula. How much fluid should be administered during the first 8 hours?