RATIONALES AVAILABLE HESI MED SURG PROCTORED EXAM LATEST VERSION 2023/2024 EXAM QUESTIONS AND ALREADY GRADED A+

A nurse is following the Ventilator Bundle standards to prevent ventilator-associated pneumonia. Which strategies is the nurse using? (Selectall that apply.) a. Head of bed elevation to 90 degrees at all times b. Daily oral care with chlorhexidinec. Cuff monitoring for adequate seal d. Clean technique when suctioninge. Daily “sedation vacations” f. Heart failure prophylaxis ANS: B, C, E The key components of the Institute for Healthcare Improvement (IHI) Ventilator Bundle are: Elevation of the head of the bed (HOB)—elevation is30 to 45 degrees Daily “sedation vacations” and assessment of readiness to extubate Pepticulcer disease prophylaxis Deep venous thrombosis prophylaxis Daily oral care with chlorhexidine Monitor cuff pressure frequently to ensure that there is an adequate seal to prevent aspiration of secretions is also included. Sterile technique is used for suctioning when on ventilators. Heart failure prophylaxis is not a component. 2. A nurse is teaching a community health promotion class and discusses the flu vaccine. Which information will the nurse include in the teachingsession? (Select all that apply.) 2 a. It is given yearl