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.
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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Related Questions
Correct Answer is D
Explanation
A. Each suction pass should be limited to 10-15 seconds to minimize hypoxia and trauma, not 25 seconds.
B. Suctioning should generally be limited to 2-3 passes per session to reduce airway irritation and hypoxia.
C. Suction should only be applied when withdrawing the catheter, not while advancing it, to prevent mucosal damage and hypoxia.
D. Preoxygenating the client with 100% oxygen for 30 seconds to 3 minutes before suctioning helps prevent hypoxemia during the procedure, especially important in clients with COPD and artificial airways.
Correct Answer is A
Explanation
A. A pulmonary artery catheter (Swan-Ganz catheter) allows continuous cardiac output monitoring and measurement of right ventricular pressures and volumes.
B. An electrocardiogram monitors electrical activity of the heart but does not measure cardiac output or ventricular volume.
C. A central venous catheter measures central venous pressure but does not provide cardiac output or right ventricular volume data.
D. An arterial line monitors arterial blood pressure continuously but does not provide cardiac output or right ventricular volume information.
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