A patient being mechanically ventilated is receiving PEEP of 10 cm of H2O. The nurse ensures that which intervention is performed for this patient?
1. Closed system suctioning
2. Oral care daily
3. Placement of a nasogastric tube
4. Daily measurement of vital signs
1
Rationale 1: Closed system suctioning should be performed for patients with high PEEP and to decrease the risk of nosocomial infection.
Rationale 2: Oral care should be more frequent and is appropriate to all patients, especially those who are intubated.
Rationale 3: There is no indication that this patient requires a nasogastric tube.
Rationale 4: With high levels of PEEP, frequent vital signs and assessments are required to detect any potential complications.
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