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Preventing Ventilator-Associated Pneumonia Post-Test
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Select the MOST CORRECT response.
1: What is the most frequent hospital-associated infection?
Ventilator-associated pneumonia
Urinary tract infection
Staphylococcal wound infection
Clostridium difficile gastroenteral infection
2: Which of the following microorganisms commonly causes LATE ONSET hospital-acquired pneumonia?
hemophilus species
streptococci
pseudomonas aeruginosa
enterobacter
3: Which of the following anatomic areas normally is sterile?
inferior to the vocal cords
oropharynx
nasopharynx
epiglottis
4: An endotracheal tube compromises defense of the lung against infection. Which of the following are mechanisms for the compromise?
provides a direct conduit for microorganisms
impairs cough
impairs mucociliary clearance
all of the above
5: Contaminated tap water is a likely source of nosocomial infection involving which of the following organisms?
clostridium difficile
coronavirus
pseudomonas aeruginosa
all of the above
6: Risk factors for ventilator-associated pneumonia include all of the following, EXCEPT:
Prolonged hospitalization before mechanical ventilation
Suctioning by the open suctioning technique
COPD
Smoking
7: Which of the following practices may cause re-inoculation of patients by organisms present on the biofilm of an endotracheal tube?
recruitment maneuvers
humidification by heat and moisture exchangers
instillation of normal saline for suctioning
closed suctioning technique
8: The clinical pulmonary infection score includes all of the following assessments, EXCEPT:
fever
leukocyte count
accessory muscle usage
purulence of secretions
9: All of the following are effective measures for preventing ventilator associated pneumonia, EXCEPT:
increased clinical staffing
swabbing patients' mouths with clorhexidine
soap and water hand-washing between all patients
administration of aerosols by metered-dose inhalers, instead of nebulizers
10: The silver-coated endotracheal tube intends to decrease ventilator-associated pneumonia by ____________.
decreasing airway trauma
removing secretions above the tube cuff
filtering out potential invasive microorganisms
inhibiting biofilm accumulation
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