Which of the following statements is true about oral care in a patient with an endotracheal tube (ETT) in place?

Oral care can increase the risk of ventilator-associated pneumonia in patients with an ETT in place.

Oral care is necessary to maintain oral hygiene and prevent complications in patients with an ETT in place.

Oral care should only be provided once a day for patients with an ETT in place.

Oral care is not necessary for patients with an ETT in place.

Answer and Explanation

The Correct Answer is B

A. Proper oral care actually reduces the risk of ventilator-associated pneumonia (VAP) by minimizing bacterial colonization in the mouth.
B. Oral care is essential to maintain hygiene, prevent infections like VAP, and promote patient comfort in patients with an ETT in place.
C. Oral care should be provided more frequently than once a day, often every 2 to 4 hours, to be effective.
D. Neglecting oral care in patients with an ETT increases the risk of complications, so it is definitely necessary.

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Correct Answer is B

Explanation

A. The use of a pressure bag is standard practice, not situation-dependent.
B. True. The flush solution for an arterial line must be infused using a pressure bag (typically at 300 mmHg) to maintain patency of the line and prevent blood backflow or clot formation.
C. Without a pressure bag, the arterial line is at risk of occlusion and inaccurate pressure readings.
D. This is a standard nursing practice and does not require a specific doctor’s order

A. Decreased heart rate B. Infection at the insertion site C. Elevated body temperature D. Increased blood pressure

Correct Answer is B

Explanation

A. Decreased heart rate is not a direct complication of invasive pressure monitoring.
B. Infection at the insertion site is a common and serious potential complication of invasive pressure monitoring, such as with arterial or central venous lines. Strict aseptic technique is essential to reduce this risk.
C. Elevated body temperature may occur with infection, but it is not specific to the invasive monitoring procedure itself.
D. Increased blood pressure is a hemodynamic finding, not a complication of the monitoring process.

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Which of the following statements is true about oral care in a patient with an endotracheal tube (ETT) in place?

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Naxlex Comprehensive Predictor Exams

The flush for an arterial line should always be infused using a pressure bag.

Correct Answer is B

Explanation

Which of the following is a potential complication of invasive pressure monitoring?

Correct Answer is B

Explanation

When assessing for adequate circulation prior to inserting an arterial line, the nurse should perform which of the following actions?

A nurse in an emergency department is caring for a client who has burns on the front and back of both his legs and arms. Using the rule of nines the nurse should document burns to which percentage of the client's total body surface area (TBSA)?

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Which of the following are sensitive indicators of heart function and fluid volume status?

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Where is a Swan-Ganz catheter typically placed?

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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?