Which of the following is not a method to reduce the risk of VAP?
a. Nasally intubate whenever possible.
b. Provide intermittent nasogastric tube feedings.
c. Keep patient in a semirecumbent position.
d. Use heat/moisture exchangers when possi-ble.
ANS: A
Nasal intubation increases the risk of sinusitis, which is associated with ventilator-associated pneumonia. Intermittent nasogastric tube feedings, keeping the patient in a semirecumbent posi-tion, and using heat/moisture exchangers (HME) whenever possible are all methods to decrease the occurrence of VAP.
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