Author Question: Based on the type of ICU, a patient with which of the following diseases or conditions is likely to ... (Read 32 times)

Arii_bell · **on:** Jul 16, 2018

Based on the type of ICU, a patient with which of the following diseases or conditions is likely to have the greatest risk of developing ventilator associated pneumonia?

A. coronary artery bypass graft surgery
B. hypoxemic respiratory failure
C. Guillain-Barr syndrome
D. postmyocardial infarction

Question 2

Which of the following factors are considered to be risk factors for developing ventilator associated pneumonia? I. female gender II. age greater than 40 years III. duration of mechanical ventilation IV. enteral feeding

A. III, IV only
B. I, II, III only
C. I, II, IV only
D. II, III, IV only

jessicaduplan · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

ANS: C
A. Incorrect response: See explanation C.
B. Incorrect response: See explanation C.
C. Correct response: Based on the most recent National Nosocomial Infectious Surveillance report, the mean rates of VAP (episode/1,000 ventilation days) in the United States between January 2002 and June 2004 were highest in neurologic (11.2), surgical (9.3), and burn (12.0) ICUs. Refer to Table 14-1 on page 267 of the text.
D. Incorrect response: See explanation C

Answer to Question 2

ANS: A
A. Correct response: VAP is the leading cause of mortality from nosocomial infections. Numerous risk factors are involved in the development of VAP. Included among the risk factors are: male gender, age greater than 59 years, supine head position, re-intubation, duration of mechanical ventilation, and enteral feeding. Refer to Box 14-1 on page 268 of the text for the complete list of risk factors for developing VAP.
B. Incorrect response: See explanation A.
C. Incorrect response: See explanation A.
D. Incorrect response: See explanation A