A nurse is caring for a patient receiving mechanical ventilation. What actions by the nurse indicate a need to review the ventilator bundle? (Select all that apply.)

Question

Quizplus · Accepted Answer

The ventilator bundle includes elevating the head of the bed to 30 to 45 degrees, administration of a proton-pump inhibitor or an H₂ blocker, using sequential compression devices, providing daily sedation holidays, and giving frequent oral care with swabs and tooth brushing per facility policy. Leaving the head of the bed at 20 degrees is too low and maintaining unaltered sedation would indicate the nurse needs to review this information.

A Nurse Is Caring for a Patient Receiving Mechanical Ventilation