Which of the following processes-of-care characteristics may contribute to lowering the risk of prolonged mechanical ventilation? I. timely performance of a tracheotomy II. vigilant ECG monitoring III. spontaneous breathing trial screenings IV. ventilation with low Vts for ALI patients

A. I, III only
B. II, III only
C. II, IV only
D. III, IV only

ANS: D
A. Incorrect response: See explanation D.
B. Incorrect response: See explanation D.
C. Incorrect response: See explanation D.
D. Correct response: Certain processes-of-care characteristics may contribute to lowering the risk of PMV. These include tight glycemic control in surgical patients, screening for and performance of spontaneous breathing trials, and the use of low tidal volumes among ALI patients.?

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