The medical nurse is creating the care plan of an adult patient requiring mechanical ventilation. What nursing action is most appropriate?
A) Keep the patient in a low Fowler's position.
B) Perform tracheostomy care at least once per day.
C) Maintain continuous bedrest.
D) Monitor cuff pressure every 8 hours.
Ans: D
Feedback:
The cuff pressure should be monitored every 8 hours. It is important to perform tracheostomy care at least every 8 hours because of the risk of infection. The patient should be encouraged to ambulate, if possible, and a low Fowler's position is not indicated.
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