A nurse is caring for a client in the Intensive Care Unit (ICU) who is on mechanical ventilation and has a tube feeding. What assessment by the nurse indicates a priority goal for this client has been met?

Question

Quizplus · Accepted Answer

Patients on mechanical ventilation and tube feedings are at very high risk of aspiration, micro-aspiration, and pneumonia. Clear lung sounds indicate that these have not occurred. Weight gain and the lab data show nutritional improvement. Elevating the head of the bed is an intervention that will decrease aspiration risk.

A Nurse Is Caring for a Client in the Intensive