Author Question: What is the trend or practice in today's health care system concerning discharging patients from ... (Read 41 times)

azncindy619 · **on:** Jul 16, 2018

What is the trend or practice in today's health care system concerning discharging patients from hospitals?

A. Patients remain longer in acute care settings.
B. More patients requiring mechanical ventilation are sent home.
C. Fewer of these patients are readmitted to acute care hospitals after being discharged.
D. Patients are discharged sooner to postacute care settings.

Question 2

A patient enters the ICU postsurgery. What can the therapist recommend to reduce the risk of this patient needing PMV?

A. maintaining tight glycemic control
B. administering intermittent dosing of a long-acting sedative
C. giving the patient high-dose steroids
D. routinely changing the patient's breathing circuit

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

Answer to Question 1

ANS: D
A. Incorrect response: See explanation D.
B. Incorrect response: See explanation D.
C. Incorrect response: See explanation D.
D. Correct response: Previously, patients were managed for extended periods in acute care hospitals until they were weaned and ready for transfer to a postacute care facility or home. Now, hospitals are discharging PMV patients sooner to a variety of postacute care facilities. As these patients navigate through these facilities, they remain at high risk for hospital readmission.

Answer to Question 2

ANS: A
A. Correct response: The importance of strict glucose control has been shown to decrease the duration of mechanical ventilations and the incidence of PMV in both surgical and medical populations.
B. Incorrect response: See explanation A.
C. Incorrect response: See explanation A.
D. Incorrect response: See explanation A.