A client with acute exacerbation of chronic obstructive pulmonary disease is intubated for mechanical ventilation. Which intervention is important in the prevention of ventilator-associated pneumonia? Select all that apply.1. 30-45 degree elevation of the head of the bed2. Avoid gastric over-distension3. Maintain an endotracheal cuff pressure of at least 20 cm H2O (15 mm Hg)4. Perform in-line endotracheal suctioning every hour5. Perform oral care with chlorhexidine

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