The nurse is developing a policy and procedure for pain management in a critical care unit. Based on national standards, what should the nurse include?
A) Pain assessment in critical care must depend on vital sign monitoring as patients are not verbal.
B) Continuous intravenous opioids are preferred over as-needed dosing.
C) Intravenous sedation of agitated patients takes priority over pain control.
D) Pain control is an independent nursing function and responsibility.
B
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Which of the following trouble points are common in the side-lying position? (Select all that apply.)
a. Lack of support for the feet b. Lack of protection for pressure points for the ears, shoulders, anterior iliac spine, trochanter, and ankles c. Adduction of the shoulder and hip joints d. Hyperextension of the neck e. Spinal curves out of normal alignment
Which of the following statements from a patient's history is it most important to investigate further?
a. "I have an allergy to peanuts." b. "I have lost 30 pounds over the last 4 months." c. "I don't like many vegetables so I take multivitamins." d. "I drink 2 cups of coffee each morning."
An adolescent client diagnosed with cystic fibrosis suddenly becomes noncompliant with the medication regimen. Which nursing intervention would most likely improve compliance?
1. Give the client a computer-animated game that presents information on the management of cystic fibrosis. 2. Set up a meeting with other adolescents with the cystic fibrosis who have been managing their disease effectively. 3. Arrange for the primary healthcare provider to sit down and talk to the client about the risks related to noncompliance with medications. 4. Discuss with the client's parents that privileges, such as a cell phone, can be taken away if compliance fails to improve.
A flow sheet documenting a home health care visit should, in most situations, be returned to the home health care facility or agency within ____________________ hours of the visit
Fill in the blank with the appropriate word.