Which of the following processes-of-care characteristics may contribute to lowering the risk of prolonged mechanical ventilation? I. timely performance of a tracheotomy II. vigilant ECG monitoring III. spontaneous breathing trial screenings IV. ventilation with low Vts for ALI patients
A. I, III only
B. II, III only
C. II, IV only
D. III, IV only
Q. 2 What can be done to reduce the risk of the patient developing polyneuropathy?
A. providing continuous use of sedatives
B. awakening the patient daily from sedative infusions
C. limiting the use of neuromuscular blocking agents and corticosteroids
D. suggesting a tracheotomy for patients requiring ventilatory support for more than 7 days
Q. 3 What is the trend or practice in today's health care system concerning discharging patients from hospitals?
A. Patients remain longer in acute care settings.
B. More patients requiring mechanical ventilation are sent home.
C. Fewer of these patients are readmitted to acute care hospitals after being discharged.
D. Patients are discharged sooner to postacute care settings.
Q. 4 A patient enters the ICU postsurgery. What can the therapist recommend to reduce the risk of this patient needing PMV?
A. maintaining tight glycemic control
B. administering intermittent dosing of a long-acting sedative
C. giving the patient high-dose steroids
D. routinely changing the patient's breathing circuit
Q. 5 Which of the following clinical conditions have been identified from clinical research as predictors of the need for prolonged mechanical ventilation? I. failed extubation II. difficult intubation III. nosocomial pneumonia IV. pulmonary artery catheterization
A. I only
B. I, II only
C. I, III only
D. II, III, IV only
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