Oral care In The ICU Quiz
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What is the second most frequent hospital-associated infection?
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Urinary tract infection
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Ventilator-associated pneumonia
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Staphylococcal wound infection
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Clostridium difficile gastroenteral infection
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Instructions:
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You may take the quiz an unlimited number of times.
Please complete this Oral Care in the ICU Quiz by Monday, October 5, 2009.
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What is the nurses role in prevention of ventilator-associated pneumonia (VAP)?
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Being knowledgable about evidenced based practices
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Adherence to VAP prevention hospital protocols
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Compliance to hospital infection control and hand washing guidelines
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All of the above
Correct Answer
A. All of the aboveExplanation
The nurse's role in the prevention of ventilator-associated pneumonia (VAP) includes being knowledgeable about evidence-based practices, adhering to VAP prevention hospital protocols, and complying with hospital infection control and hand washing guidelines. By having knowledge about evidence-based practices, the nurse can implement strategies that have been proven effective in preventing VAP. Adhering to VAP prevention protocols ensures that the nurse follows the recommended guidelines and procedures specifically designed to prevent VAP. Compliance with hospital infection control and hand washing guidelines helps to minimize the spread of infectious agents, reducing the risk of VAP. Therefore, all of the above actions are important in the nurse's role in preventing VAP.Rate this question:
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- 3.
Which of the following anatomic areas is the primary route for ventilator-associated pneumonia (VAP)?
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Oropharynx
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Nasopharynx
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Epiglottis
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Inferior to the vocal cords
Correct Answer
A. OropharynxExplanation
The oropharynx is the primary route for ventilator-associated pneumonia (VAP) because it is the area where the endotracheal tube is inserted during mechanical ventilation. This area is more susceptible to colonization by bacteria, which can then lead to the development of pneumonia. The nasopharynx and epiglottis are also involved in the respiratory system, but they are not the primary route for VAP. The area inferior to the vocal cords is the lower respiratory tract and is not typically associated with VAP.Rate this question:
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- 4.
An endotracheal tube compromises defense of the lung against infection. Which of the following are mechanisms for the compromise?
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Provides a direct conduit for microorganisms
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Impairs cough
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Impairs mucociliary clearance
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All of the above
Correct Answer
A. All of the aboveExplanation
The endotracheal tube compromises the lung's defense against infection through several mechanisms. Firstly, it provides a direct conduit for microorganisms to enter the lungs, increasing the risk of infection. Additionally, the tube impairs the ability to cough effectively, which is an important mechanism for clearing the airways of potential pathogens. Lastly, it impairs the function of the mucociliary clearance system, which helps to remove mucus and trapped microorganisms from the respiratory tract. Therefore, all of the above mechanisms contribute to the compromise of lung defense against infection.Rate this question:
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- 5.
Risk factors for ventilator-associated pneumonia (VAP) include all of the following, EXCEPT:
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Suctioning by the open suctioning technique
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Dialysis treatment in a clinic
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Recent hospitalization (with the last 90 days)
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Prolonged mechanical ventilation of 5 days or more
Correct Answer
A. Dialysis treatment in a clinicExplanation
Dialysis treatment in a clinic is a risk factor that is not directly associated with ventilator-associated pneumonia (VAP). VAP risk factors are closely related to mechanical ventilation, hospital environment, and procedures that directly affect the respiratory tract.Rate this question:
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- 6.
The following are signs and symptoms of VAP except:
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Fever
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Leukocyte count
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Accessory muscle usage
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Purulence of secretions
Correct Answer
A. Accessory muscle usageExplanation
Accessory muscle usage is not a sign or symptom of ventilator-associated pneumonia (VAP). VAP is an infection that occurs in individuals who are on mechanical ventilation. The common signs and symptoms of VAP include fever, leukocyte count (an increase in white blood cells), and purulence of secretions (presence of pus in the respiratory secretions). Accessory muscle usage, on the other hand, refers to the use of additional muscles in the neck, shoulders, and chest to assist with breathing when the primary respiratory muscles are weakened or fatigued. This is not directly related to VAP.Rate this question:
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- 7.
All of the following are effective measures for preventing ventilator associated pneumonia, EXCEPT:
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Increased clinical staffing
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Swabbing patients' mouths with clorhexidine
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Soap and water hand-washing between all patients
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Frequent suctioning
Correct Answer
A. Increased clinical staffingExplanation
Increased clinical staffing is not an effective measure for preventing ventilator-associated pneumonia. While having more staff may improve patient care, it does not directly address the specific risk factors associated with ventilator-associated pneumonia. Swabbing patients' mouths with clorhexidine, soap and water hand-washing between all patients, and frequent suctioning are all effective measures for preventing ventilator-associated pneumonia as they help reduce the risk of bacterial colonization and infection.Rate this question:
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- 8.
Components of VAP care bundle include all of the following except:
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Elevation of the head of the bed (30-45 degrees)
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Regular Oral care
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Practicing good hand hygene
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Making sure patient movement is limited while on the ventilator
Correct Answer
A. Making sure patient movement is limited while on the ventilatorExplanation
The components of VAP care bundle are strategies to prevent ventilator-associated pneumonia. These include elevation of the head of the bed (30-45 degrees) to reduce aspiration, regular oral care to prevent colonization of bacteria, and practicing good hand hygiene to prevent the spread of infection. However, limiting patient movement while on the ventilator is not a component of VAP care bundle. This is because movement is important for patient comfort and prevention of complications such as pressure ulcers and muscle weakness.Rate this question:
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- 9.
VAP can increase the cost for one patient stay by:
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$400
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$4000
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$40,000
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$400,000
Correct Answer
A. $40,000Explanation
VAP stands for Ventilator-Associated Pneumonia, which is a type of lung infection that can occur in patients who are on ventilators. This infection can prolong the patient's hospital stay and require additional treatment, leading to increased costs. The answer of $40,000 suggests that the cost for one patient stay can increase significantly due to the complications and treatment associated with VAP.Rate this question:
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- 10.
VAP (ventilator associated pnemonia) is defined as pneumonia that develops in an intubated patient after _______hours or more of mechanical ventilation support.
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12
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24
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36
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48
Correct Answer
A. 48Explanation
VAP (ventilator associated pneumonia) is a type of pneumonia that occurs in patients who have been intubated and on mechanical ventilation for a certain period of time. The correct answer is 48 hours, meaning that if a patient has been on mechanical ventilation for 48 hours or more, they are at risk of developing VAP. This is an important consideration in the management of intubated patients, as VAP can lead to further complications and prolong the patient's hospital stay.Rate this question:
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Jul 23, 2024Quiz Edited by
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Sep 12, 2009Quiz Created by
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