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![]() His secretions were thick, and you observed that the nurse was instilling saline into the patient's endotracheal tube as she was suctioning him. He has required frequent suctioning throughout the shift, and he is being evaluated for the development of ventilator-associated pneumonia.Today, when returning from lunch, you observed that an experienced nurse was suctioning your patient. ![]() Staff members, despite their diligent efforts, have not been able to wean him off the ventilator since the surgery. His postoperative course has been difficult, and he has suffered a number of setbacks. The patient has a history of chronic obstructive pulmonary disease exacerbated by heavy smoking. Read the following case study.You are a staff nurse working in an intensive care unit and assigned to care for a 75-year-old man who had coronary artery bypass graft surgery four days ago.
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