According to national standards, pain in critically ill patients should be assessed at regular intervals using a variety of methods. What statement about pain assessment is true?
A) Absence of physical signs or behaviors is equivalent to absence of pain.
B) Many of the factors in critical care combine to invalidate patient self-report of pain.
C) Behavioral observation and physiological parameters should be considered along with the patient's report.
D) The family has a more accurate assessment of pain than the patient.
C
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The pediatric nurse is observing a student nurse teach a child how to use a peak flow meter. Which instruction by the student requires intervention by the pediatric nurse?
A. "Exhale for as long as you can to empty your lungs." B. "Keep your tongue away from the mouthpiece." C. "Stand up straight and tall when using the meter." D. "Write down the highest of the three readings."
A patient has a wound infection that is resistant to treatment with several antiseptics. The health care provider interprets that this wound should be treated with which of the following antisep-tics?
a. Ethanol antiseptic b. Chlorine preparation c. Oxidizing antiseptic d. Phenol derivative
The nurse understands that which of the following clients would be the most likely to misuse the drug ipecac?
a. a nine year-old boy c. an adolescent with bulimia b. a cognitively impaired adult d. a mischievous two year-old
Which is the focus of palliative care for the client who is dying?
1. Managing symptoms 2. Gaining muscle strength 3. Increasing caloric intake 4. Raising activity tolerance