ECCO Global Perspectives in Critical Care: Part 2 | Questions and Answers(A+ Solution guide)

A patient is being seen by the palliative care team for management of dyspnea. SpO2 is 90% on room air. In addition to administration of low-dose opioids, which should the nurse anticipate? - Performing guided imagery as needed Palliative management of dyspnea includes administration of low-dose opioids, adjusting the environment, complementary treatments, and psychosocial and interpersonal treatments such as guided imagery. Oxygen would be appropriate if the patient is hypoxic. Which tools should the nurse use to assess delirium in a critically ill patient? - Confusion Assessment Method for the ICU (CAM-ICU); Intensive Care Delirium Screening Checklist (ICDSC) Which intervention should the nurse implement to help prevent a CAUTI? - Remove catheter if not indicated. A patient hospitalized with acute respiratory distress syndrome (ARDS) is now told he will be discharged soon. Which statements or actions may indicate PICS? - Patient is unable to recall medication instructions he was taught yesterday. In caring for a sedated post-procedure patient, what are the nurse's patient care priorities? - Record vital signs, sedation level, and oxygenation until patient is at pre-sedation LOC and function until the patient returns to pre-sedation state, as well as monitoring for pain and reorienting the patient as needed. If necessary, encourage the non-ventilated patient to take deep breaths. A patient with end-stage kidney disease )ESKD) managed with hemodialysis is hypotensive. The nephrologist agrees there are no options. The family agrees the patient is end of life. A DNR order is signed. Which has the highest priority? - In the situation described, the patient has a DNR order, and the provider and family agree the patient is at end of life and that further demodialysis is not indicated due to the patient's hypotension. The nurse's next priority is to explain to the family what to expect the patient's response and care to be as hemodialysis is discontinued.