A Patient Is Being Admitted to the Intensive Care Unit

question 5

Multiple Choice

A patient is being admitted to the intensive care unit after being resuscitated in the emergency department.The patient is being mechanically ventilated.Which information provided by the transferring nurse would the nurse evaluate as increasing this patient's risk of developing ventilator-associated pneumonia (VAP) ? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.

• A)"The patient is intubated nasally."
• B)"The patient arrested after having a myocardial infarction."
• C)"The patient required placement of a nasogastric tube to relieve persistent gastric distention."
• D)"The patient's home medications include a proton pump inhibitor."
• E)"The patient has a history of chronic obstructive pulmonary disease (COPD)."

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Definitions:

Hypnagogic Sensations

Experiences occurring at the onset of sleep, often involving visual, auditory, or tactile hallucinations.

Sleep Spindles

Brief bursts of brain activity visible on an EEG that occur during stage 2 of sleep, associated with memory consolidation and synaptic plasticity.

Imaginatively

In a manner that uses imagination or creative thinking.

Human Growth Hormone

A peptide hormone that stimulates growth, cell reproduction, and cell regeneration in humans and other animals.