The therapist is working with a mechanically ventilated patient who has uncontrolled pain. Which of the following concerns should the therapist have regarding this patient?
A. developing a nosocomial infection
B. experiencing obstructive sleep apnea
C. demonstrating bronchospasm
D. developing a coagulopathy
?ANS: A
A. Correct response: Uncontrolled pain can lead to hyperglycemia, which can adversely affect the immune system by decreasing chemotaxis and phagocytosis by neutrophils. Therefore uncontrolled pain may significantly increase the risk for developing nosocomial infections, particularly ventilator associated pneumonia.
B. Incorrect response: See explanation A.
C. Incorrect response: See explanation A.
D. Incorrect response: See explanation A.
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