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Challenges to Pain Assessment and People with delirium still experience pain.
Management in the Critical Care Delirium is highly prevalent in critically ill patients.
Setting Uncontrolled pain can lead to chronic nervous
Question 1 of 9 system complications.
For which reason is it important to Pain activates the sympathetic nervous system.
assess pain in delirious patients
admitted to the critical care unit?
Select all that apply. One, some, or
all responses may be correct.
People with delirium still experience
pain.
Delirium is highly prevalent in
critically ill patients.
Pain is a nonmodifiable factor for
delirium.
Uncontrolled pain can lead to
chronic nervous system
complications.
Pain activates the sympathetic
nervous system.
,Question 2 of 9 Vertical pain intensity scale
When caring for an older adult Vertical pain intensity scales are more easily
patient with a mild cognitive understood and are recommended for older adults
impairment, which pain assessment with mild to moderate cognitive impairments.
technique would the nurse use?
Verbal 0-to-10 pain scale
Behavioral observation scale
Monitoring for tachycardia
Vertical pain intensity scale
Question 3 of 9 Inability to communicate
Which barrier impacts effective pain The most obvious patient barrier to the assessment
assessment the most?Nurse's of pain is an alteration in the ability to
preconceived ideas or communicate.
assumptionsInability to
communicateExcessive
environmental stimuliCultural
differences between the patient and
the health care team
Question 4 of 9 "Can I do anything to support you?"
The nurse is caring for a patient who This open-ended question demonstrates cultural
states, "This pain is a punishment competence and empowers the patient to ask for
from God for my bad deeds." In assistance if needed.
which way would the nurse respond?
"Nobody should have to feel pain; I
will get you some pain medications."
"Have you tried praying to fix your
pain?"
"Can I do anything to support you?"
"That is not true. God does not want
anyone to feel pain."
,Question 5 of 9 Use a 0-to-10 scale translated into the patient's
The nurse is caring for a patient who language
speaks a language other than that of The use of a pain intensity scale in the patient's
the health care team members. In language is vital. The 0-to-10 numeric pain scales
which way would the nurse assess have been translated into many different
this patient's pain? languages.
Ask the patient's family about their
perception of the patient's level of
comfort
Use a translation service to speak
about the pain
Communicate using gestures and
motions
Use a 0-to-10 scale translated into
the patient's language
Question 6 of 9 Complete education on the intricacies of cultural
In which way could the nursing team beliefs
improve their ability to provide Understanding the complexities and intricacies of
culturally competent care? cultural beliefs requires thorough discussion and
Complete education on the education. To improve culturally competent care,
intricacies of cultural beliefs the nurse should be a lifelong learner.
Apply cultural assumptions to all
patients of a particular culture
Treat patients the way the nurses
would like to be treated
Ask patients' family members to
explain their cultural beliefs
, Question 7 of 9 Opioid naïveté
Which factor increases the risk of Patients who are opioid-naïve are at an increased
iatrogenic withdrawal syndrome risk of IWS.
(IWS)?
A history of long-term narcotic use
in the past
Short-term critical care admission
Opioid naïveté
Use of small opioid doses
Question 8 of 9 Lacrimation
Which assessment finding leads the Iatrogenic withdrawal syndrome causes lacrimation
nurse to suspect that the patient is and piloerection.
experiencing iatrogenic withdrawal
syndrome (IWS)?
Constipation
Drowsiness
Seizures
Lacrimation
Question 9 of 9 Massage
Which pain method would the nurse Massage has proven pain relief effects and is a
use to relieve pain as an adjunct to nonpharmacologic pain control method.
pharmacological methods?
Epidural analgesia
Patient-controlled analgesia
Increased environmental stimulation
Massage