Question 1

Factors in the critical care unit that may predispose the client to increased pain and anxiety include: (Select all that apply.)

Accepted Answer

A)  an endotracheal tube. 
B)  frequent vital signs. 
C)  monitor alarms. 
D)  room temperature. 
E)  hostile environment.
F) None of above 
A)  an endotracheal tube. 
B)  frequent vital signs. 
C)  monitor alarms. 
D)  room temperature. 
E)  hostile environment.
F) None of above

Question 2

The nurse is assessing the critically ill patient for delirium.The nurse recognizes which characteristics that indicate hyperactive delirium? (Select all that apply.)

Accepted Answer

A)  Agitation 
B)  Apathy 
C)  Biting 
D)  Hitting 
E)  Restlessness 
A)  Agitation 
B)  Apathy 
C)  Biting 
D)  Hitting 
E)  Restlessness

Question 3

Nonpharmacological approaches to pain and/or anxiety that may best meet the needs of critically ill patients include: (Select all that apply.)

Accepted Answer

A)  anaerobic exercise. 
B)  art therapy. 
C)  guided imagery. 
D)  music therapy. 
E)  animal therapy. 
A)  anaerobic exercise. 
B)  art therapy. 
C)  guided imagery. 
D)  music therapy. 
E)  animal therapy.

Question 4

The nurse is assessing pain levels in a critically ill patient using the Behavioral Pain Scale.The nurse recognizes __________ as indicating the greatest level of pain.

Accepted Answer

A)  brow lowering 
B)  eyelid closing 
C)  grimacing 
D)  relaxed facial expression 
A)  brow lowering 
B)  eyelid closing 
C)  grimacing 
D)  relaxed facial expression

Question 5

A patient requires pancuronium as part of treatment of refractive increased intracranial pressure.The nursing care for this patient includes: (Select all that apply.)

Accepted Answer

A)  administration of sedatives concurrently with neuromuscular blockade. 
B)  dangling the patient's feet over the edge of the bed and assisting the patient to sit up in a chair at least twice each day. 
C)  ensuring that deep vein thrombosis prophylaxis is initiated. 
D)  providing interventions for eye care, oral care, and skin care. 
E)  ensuring good nutrition with frequent feedings throughout the day. 
A)  administration of sedatives concurrently with neuromuscular blockade. 
B)  dangling the patient's feet over the edge of the bed and assisting the patient to sit up in a chair at least twice each day. 
C)  ensuring that deep vein thrombosis prophylaxis is initiated. 
D)  providing interventions for eye care, oral care, and skin care. 
E)  ensuring good nutrition with frequent feedings throughout the day.

Question 6

Nociceptors differ from other nerve receptors in the body in that they:

Accepted Answer

A)  adapt very little to continual pain response. 
B)  inhibit the infiltration of neutrophils and eosinophils. 
C)  play no role in the inflammatory response. 
D)  transmit only the thermal stimuli. 
A)  adapt very little to continual pain response. 
B)  inhibit the infiltration of neutrophils and eosinophils. 
C)  play no role in the inflammatory response. 
D)  transmit only the thermal stimuli.

Question 7

The nurse is caring for a patient receiving intravenous ibuprofen for pain management.The nurse recognizes which laboratory assessment to be a possible side effect of the ibuprofen?

Accepted Answer

A)  Creatinine: 3.1 mg/dL 
B)  Platelet count 350,000 billion/L 
C)  White blood count 13, 550 mm3 
D)  ALT 25 U/L 
A)  Creatinine: 3.1 mg/dL 
B)  Platelet count 350,000 billion/L 
C)  White blood count 13, 550 mm3 
D)  ALT 25 U/L

Question 8

In the healthy individual,pain and anxiety: (Select all that apply.)

Accepted Answer

A)  activate the sympathetic nervous system (SNS). 
B)  decrease stress levels. 
C)  help remove one from harm. 
D)  increase performance levels. 
E)  limit sympathetic nervous system activity. 
A)  activate the sympathetic nervous system (SNS). 
B)  decrease stress levels. 
C)  help remove one from harm. 
D)  increase performance levels. 
E)  limit sympathetic nervous system activity.

Question 9

Which of the following are accepted nonpharmacological approaches to managing pain and/or anxiety in critically ill patients? (Select all that apply.)

Accepted Answer

A)  Environmental manipulation 
B)  Explanations of monitoring equipment 
C)  Guided imagery 
D)  Music therapy 
E)  Provision of personal items
F) None of above 
A)  Environmental manipulation 
B)  Explanations of monitoring equipment 
C)  Guided imagery 
D)  Music therapy 
E)  Provision of personal items
F) None of above

Question 10

The patient is receiving neuromuscular blockade.Which nursing assessment indicates a target level of paralysis?

Accepted Answer

A)  Glasgow Coma Scale score of 3 
B)  Train-of-four yields two twitches 
C)  Bispectral index of 60 
D)  CAM-ICU positive 
A)  Glasgow Coma Scale score of 3 
B)  Train-of-four yields two twitches 
C)  Bispectral index of 60 
D)  CAM-ICU positive

Question 11

The nurse is caring for a critically ill trauma patient who is expected to be hospitalized for an extended period.Which of the following nursing interventions would improve the patient's well-being and reduce anxiety the most?

Accepted Answer

A)  Arrange for the patient's dog to be brought into the unit (per protocol). 
B)  Provide aromatherapy with scents such as lavender that are known to help anxiety. 
C)  Secure the harpist to come and play soothing music for an hour every afternoon. 
D)  Wheel the patient out near the unit aquarium to observe the tropical fish. 
A)  Arrange for the patient's dog to be brought into the unit (per protocol). 
B)  Provide aromatherapy with scents such as lavender that are known to help anxiety. 
C)  Secure the harpist to come and play soothing music for an hour every afternoon. 
D)  Wheel the patient out near the unit aquarium to observe the tropical fish.

Question 12

The most important nursing intervention for patients who receive neuromuscular blocking agents is to

Accepted Answer

A)  administer sedatives in conjunction with the neuromuscular blocking agents. 
B)  assess neurological status every 30 minutes. 
C)  avoid interaction with the patient, because he or she won't be able to hear. 
D)  restrain the patient to avoid self-extubation. 
A)  administer sedatives in conjunction with the neuromuscular blocking agents. 
B)  assess neurological status every 30 minutes. 
C)  avoid interaction with the patient, because he or she won't be able to hear. 
D)  restrain the patient to avoid self-extubation.

Question 13

Choose the items that are common to both pain and anxiety.(Select all that apply.)

Accepted Answer

A)  Cyclical exacerbation of one another 
B)  Require good nursing assessment for proper treatment 
C)  Response only to real phenomena 
D)  Subjective in nature 
E)  Perception may be influenced by prior experience 
A)  Cyclical exacerbation of one another 
B)  Require good nursing assessment for proper treatment 
C)  Response only to real phenomena 
D)  Subjective in nature 
E)  Perception may be influenced by prior experience

Factors in the critical care unit that may predispose the client to increased pain and anxiety include: (Select all that apply.)

The nurse is assessing the critically ill patient for delirium.The nurse recognizes which characteristics that indicate hyperactive delirium? (Select all that apply.)

Nonpharmacological approaches to pain and/or anxiety that may best meet the needs of critically ill patients include: (Select all that apply.)

The nurse is assessing pain levels in a critically ill patient using the Behavioral Pain Scale.The nurse recognizes __________ as indicating the greatest level of pain.

A patient requires pancuronium as part of treatment of refractive increased intracranial pressure.The nursing care for this patient includes: (Select all that apply.)

Nociceptors differ from other nerve receptors in the body in that they:

The nurse is caring for a patient receiving intravenous ibuprofen for pain management.The nurse recognizes which laboratory assessment to be a possible side effect of the ibuprofen?

In the healthy individual,pain and anxiety: (Select all that apply.)

Which of the following are accepted nonpharmacological approaches to managing pain and/or anxiety in critically ill patients? (Select all that apply.)

The patient is receiving neuromuscular blockade.Which nursing assessment indicates a target level of paralysis?

The nurse is caring for a critically ill trauma patient who is expected to be hospitalized for an extended period.Which of the following nursing interventions would improve the patient's well-being and reduce anxiety the most?

The most important nursing intervention for patients who receive neuromuscular blocking agents is to

Choose the items that are common to both pain and anxiety.(Select all that apply.)

Overview of Critical Care Nursing

Patient and Family Response to the Critical Care Experience

Ethical and Legal Issues in Critical Care Nursing

End-of-Life Care and Palliative Care in Critical Care Settings

Nutritional Support

Dysrhythmia Interpretation and Management

Hemodynamic Monitoring

Ventilatory Assistance

Rapid Response Teams and Code Management

Organ Donation

Shock,Sepsis,and Multiple Organ Dysfunction Syndrome

Cardiovascular Alterations

Nervous System Alterations

Acute Respiratory Failure

Acute Kidney Injury

Hematological and Immune Disorders

Gastrointestinal Alterations

Endocrine Alterations

Trauma and Surgical Management

Burns

Filters

Exam 5: Comfort and Sedation

Factors in the critical care unit that may predispose the client to increased pain and anxiety include: (Select all that apply.)

The nurse is assessing the critically ill patient for delirium.The nurse recognizes which characteristics that indicate hyperactive delirium? (Select all that apply.)

Nonpharmacological approaches to pain and/or anxiety that may best meet the needs of critically ill patients include: (Select all that apply.)

The nurse is assessing pain levels in a critically ill patient using the Behavioral Pain Scale.The nurse recognizes __________ as indicating the greatest level of pain.

A patient requires pancuronium as part of treatment of refractive increased intracranial pressure.The nursing care for this patient includes: (Select all that apply.)

Nociceptors differ from other nerve receptors in the body in that they:

The nurse is caring for a patient receiving intravenous ibuprofen for pain management.The nurse recognizes which laboratory assessment to be a possible side effect of the ibuprofen?

In the healthy individual,pain and anxiety: (Select all that apply.)

Which of the following are accepted nonpharmacological approaches to managing pain and/or anxiety in critically ill patients? (Select all that apply.)

The patient is receiving neuromuscular blockade.Which nursing assessment indicates a target level of paralysis?

The nurse is caring for a critically ill trauma patient who is expected to be hospitalized for an extended period.Which of the following nursing interventions would improve the patient's well-being and reduce anxiety the most?

The most important nursing intervention for patients who receive neuromuscular blocking agents is to

Choose the items that are common to both pain and anxiety.(Select all that apply.)

Overview of Critical Care Nursing

Patient and Family Response to the Critical Care Experience

Ethical and Legal Issues in Critical Care Nursing

End-of-Life Care and Palliative Care in Critical Care Settings

Nutritional Support

Dysrhythmia Interpretation and Management

Hemodynamic Monitoring

Ventilatory Assistance

Rapid Response Teams and Code Management

Organ Donation

Shock,Sepsis,and Multiple Organ Dysfunction Syndrome

Cardiovascular Alterations

Nervous System Alterations

Acute Respiratory Failure

Acute Kidney Injury

Hematological and Immune Disorders

Gastrointestinal Alterations

Endocrine Alterations

Trauma and Surgical Management

Burns

Filters