FREE ACCS Patient Management and Care Questions and Answers
What is the best practice for preventing ventilator-associated pneumonia (VAP)?
Frequent repositioning and maintaining head-of-bed elevation are key practices for preventing VAP. Routine antibiotics, early extubation, and sedation holidays are not primary strategies for VAP prevention.
What is the primary goal of enteral nutrition in critically ill patients?
The primary goal of enteral nutrition is to provide adequate caloric intake to support the patient’s metabolic needs and recovery. It does not directly impact gastrointestinal motility, respiratory function, or fluid needs.
What is the recommended initial management step for a patient with septic shock?
The initial management of septic shock typically involves administering intravenous fluids and vasopressors to stabilize blood pressure and improve perfusion. Broad-spectrum antibiotics, corticosteroids, and surgery are also important but not the first step.
What should be the focus of care for a patient experiencing delirium in the ICU?
Addressing and managing the underlying causes of delirium is crucial for effective care. Immediate sedation, sensory restriction, and long-term counseling may not address the root cause of delirium.
How should a critically ill patient with a high risk of deep vein thrombosis (DVT) be managed?
Management of high-risk patients for DVT typically involves using compression stockings and/or anticoagulants to prevent clot formation. Physical therapy, fluid restriction, and dietary changes are less effective in preventing DVT.