The Nurse Is Caring for a Ventilated Patient in the ICU

The nurse is caring for a ventilated patient in the ICU who has just undergone coronary artery bypass.The nurse is concerned that the patient may be at risk for ventilator-acquired pneumonia (VAP) .What step will she take to minimize this risk?

A) Not provide oral hygiene because this may cause bacterial contamination of the airway.
B) Be careful not to use chlorhexidine in oral care because it provides a medium for bacterial growth.
C) Not use chlorhexidine in oral care because it enhances the rate at which VAP develops.
D) Include the use of a chlorhexidine rinse as part of oral hygiene to delay the development of VAP.