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The Nurse Cares for an Intubated Client on Mechanical Ventilation

Question 13

Multiple Choice

The nurse cares for an intubated client on mechanical ventilation with worsening cerebral edema from increased intracranial pressure (ICP) .  Which nursing interventions help reduce ICP?  Select all that apply.


A) Clustering as many interventions as possible when providing care
B) Hyperventilating before suctioning
C) Maintaining a quiet, dark environment
D) Maintaining the head in a neutral midline position
E) Suctioning for 30 seconds to remove endotracheal tube secretions at regular intervals

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