Exam 5: Comfort and Sedation

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

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

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 48-year-old 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 assessing pain levels in a critically ill patient using the Behavioral Pain Scale.The nurse recognizes ________ as indicating the greatest level of pain.

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 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.)

Which of the following statements regarding pain and anxiety are true? (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.)

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.)

A 45-year-old male postsurgical patient is on a ventilator in the critical care unit.He has been tolerating the ventilator well and has not required any sedation.He becomes tachycardic and hypertensive.His respiratory rate has increased to 28 breaths/min.The ventilator is set on synchronized intermittent mandatory ventilation (SIMV)at a rate of 10 breaths/min.The patient has been suctioned recently via his endotracheal tube,and his airway is clear.He responds appropriately to the nurse's commands.The nurse should:

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

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

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

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

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

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?