The nurse is caring for a client who has been receiving mechanical ventilation (MV) for 4 days. During multidisciplinary morning rounds, the health care provider questions the development of a ventilator-associated pneumonia (VAP). Which of the following manifestations does the nurse assess as the best indicator of VAP?
a. Blood-tinged sputum
b. Positive blood cultures
c. Positive, purulent sputum culture
d. Rhonchi and crackles
Ans: c. Positive, purulent sputum culture
You might also like to view...
Many health care agencies lack the infrastructure to accommodate and support information systems (IS) during an environmental disaster. Which of the following can threaten IS during an environmental disaster?
1. A 10-day supply of fuel to power generators 2. Presence of excessive heat 3. Underground power lines 4. Housing IS in areas above the first floor
The nurse is worried that a client who is not entirely reliable is being discharged home on therapy for multidrug-resistant tuberculosis. What strategy is the best to use for this client?
a. Directly observed therapy b. IV drug administration c. Remaining in the hospital d. Isolation
A client tells the nurse that he has noticed a decrease in hearing. Which of the following would be risk factors for the client to have a change in hearing? (Select all that apply.)
1. Smoking 2. Neck trauma 3. Cardiovascular disease 4. Aging 5. Diabetes 6. Chronic infection
Which of the following would be an appropriate method of communicating with an older adult who has a communication barrier?
a. Shout. b. Use elderspeak. c. Speak at a very slow rate. d. Allow time for the patient to respond.