The best way to monitor agitation and effectiveness of treating it in the critically ill patient is to use a/the:
a. Confusion Assessment Method (CAM-ICU).
b. FACES assessment tool.
c. Glasgow Coma Scale.
d. scale such as Richmond Agitation Sedation Scale.
D
Various sedation scales are available to assist the nurse in monitoring the level of sedation and assessing response to treatment. The Richmond Agitation Sedation Scale is a commonly used tool that has been validated. The CAM-ICU assesses for delirium. The FACES scale assesses pain. The Glasgow Coma Scale assesses neurological status.
You might also like to view...
Caring for sick and dying clients without maintaining balance in the nurse's personal life puts the nurse at risk for:
1. Depression. 2. Distancing. 3. Compassion fatigue. 4. Coping.
A Cuban-American infant is admitted to the pediatric unit for observation. When assessing the family's interactions the nurse notes the mother does all the care of the child while the father seems detached from the infant
Which nursing diagnosis is the most appropriate for this situation? 1. Family Processes; Dysfunctional. 2. Role Performance; Ineffective. 3. Violence; Other-Directed, Risk for. 4. Family Processes; Readiness for Enhanced.
A child is brought to the emergency department after swallowing liquid cleanser. He is awake and alert and able to swallow. Which action should the nurse take first?
1) Administer a dose of syrup of ipecac. 2) Administer activated charcoal immediately. 3) Give water to the child immediately. 4) Call the nearest poison control center.
During an eye assessment, a 24-year-old client reports difficulty seeing items well at close range. The nurse realizes this finding is consistent with:
1. aging. 2. presbyopia. 3. hyperopia. 4. astigmatism.