The Nurse Is Caring for a Mechanically Ventilated Patient with a Sustained

question 32

Multiple Choice

The nurse is caring for a mechanically ventilated patient with a sustained ICP of 18 mm Hg.The nurse needs to perform an hourly neurological assessment,suction the endotracheal tube,perform oral hygiene care,and reposition the patient to the left side.What is the best action by the nurse?

• A) Hyperoxygenate during endotracheal suctioning.
• B) Elevate the patient's head of the bed 30 degrees.
• C) Apply bilateral heel protectors after repositioning.
• D) Provide rest periods between nursing interventions.

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Definitions:

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Pertaining to the functions and processes of the organs and systems within a living organism.

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