Exam 5: Comfort and Sedation

The nurse is caring for a postoperative patient in the critical care unit.The physician has ordered patient-controlled analgesia ( PCA )for the patient.The nurse understands that the PCA: (Select all that apply.)

The nurse is assessing the patient's pain using the Critical Care Pain Observation Tool.Which of the following assessments would indicate the greatest likelihood of pain and need for nursing intervention?

The nurse is caring for four patients on the progressive care unit.Which patient is at greatest risk for developing delirium?

A postsurgical patient is on a ventilator in the critical care unit.The patient has been tolerating the ventilator well and has not required any sedation.On assessment,the nurse notes the patient is tachycardic and hypertensive with an increased respiratory rate of 28 breaths/min.The patient has been suctioned recently via the endotracheal tube,and the airway is clear.The patient responds appropriately to the nurse's commands.The nurse should:

The assessment of pain and anxiety is a continuous process.When critically ill patients exhibit signs of anxiety,the nurse's first priority is to

The nurse is caring for a patient with hyperactive delirium.The nurse focuses interventions toward keeping the patient:

The nurse is caring for a patient who is intubated and on a ventilator following extensive abdominal surgery.Although the patient is responsive,the nurse is not able to read the patient's lips as the patient attempts to mouth the words.Which of the following assessment tools would be the most appropriate for the nurse to use when assessing the patient's pain level? (Select all that apply.)

The nurse is caring for a patient who requires administration of a neuromuscular blocking agent to facilitate ventilation with nontraditional modes.The nurse understands that neuromuscular blocking agents provide:

The nurse is concerned that the patient will pull out the endotracheal tube.As part of the nursing management,the nurse obtains an order for

The nurse recognizes that which patient is likely to benefit most from patient-controlled analgesia ( PCA )?

Which of the following statements regarding pain and anxiety are true? (Select all that apply.)

In the critically ill patient,an incomplete assessment and/or management of pain or anxiety may be hampered by which of the following? (Select all that apply.)

Both the electroencephalogram (EEG)monitor and the Bispectral Index Score (BIS)or Patient State Index (PSI)analyzer monitors are used to assess patient sedation levels in critically ill patients.The BIS and PSI monitors are simpler to use because they

Which of the following factors predispose the critically ill patient to pain and anxiety? (Select all that apply.)

The primary mode of action for neuromuscular blocking agents used in the management of some ventilated patients is

The best way to monitor agitation and effectiveness of treating it in the critically ill patient is to use a/the:

The nurse wishes to assess the quality of a patient's pain.Which of the following questions is appropriate to obtain this assessment if the patient is able to give a verbal response?

The nurse is caring for a patient receiving a benzodiazepine intermittently.The nurse understands that the best way to administer such drugs is to:

The nurse is concerned about the risk of alcohol withdrawal syndrome in a postoperative patient.Which statement by the nurse indicates understanding of management of this patient?

Anxiety differs from pain in that: (Select all that apply.)