« previous next »

Author Question: The two scales that are recommended for assessment of agitation and sedation in adult critically ill ... (Read 27 times)

berenicecastro

  • Hero Member
  • *****
  • Posts: 581
on: Jun 25, 2018
The two scales that are recommended for assessment of agitation and sedation in adult critically ill patients are the
 
  a. Ramsay Scale and Riker Sedation-Agitation Scale (SAS).
  b. Ramsay Scale and Motor Activity Assessment Scale (MAAS).
  c. Riker Sedation-Agitation Scale (SAS) and the Richmond Agitation-Sedation Scale (RASS).
  d. Richmond Agitation-Sedation Scale (RASS) and Motor Activity Assessment Scale (MAAS).

Question 2

A tracheostomy patient is experiencing regurgitation of tube feeding formul
 
  a. The nurse's first priority should be
 
  a. checking to make sure the tracheostomy cuff is inflated during tube feedings.
  b. placing the patient in the right lateral decubitus position to promote gastric emptying.
  c. discussing the use of metoclopramide to facilitate gastric motility with the physician.
  d. placing the patient in prone position to improve draining from mouth.


mochi09

  • Sr. Member
  • ****
  • Posts: 335
Reply #1 on: Jun 25, 2018
Answer to Question 1

C
The two scales that are recommended for assessment of agitation and sedation in adult critically ill patients are the SAS and the RASS.

Answer to Question 2

A
When regurgitation of formula is an issue, the following interventions can be used as appropriate: keep the cuff of the endotracheal or tracheostomy tube inflated during feedings to prevent aspiration; elevate the head to 30 to 45 degrees during feedings unless contraindicated; if head cannot be raised, position the patient in the right lateral position or prone position to improve drainage of vomitus from the mouth; and consider giving metoclopramide to improve gastric emptying.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

The modern decimal position system was the invention of the Hindus (around 800 AD), involving the placing of numerals to indicate their value (units, tens, hundreds, and so on).

Did you know?

A strange skin disease referred to as Morgellons has occurred in the southern United States and in California. Symptoms include slowly healing sores, joint pain, persistent fatigue, and a sensation of things crawling through the skin. Another symptom is strange-looking, threadlike extrusions coming out of the skin.

Did you know?

GI conditions that will keep you out of the U.S. armed services include ulcers, varices, fistulas, esophagitis, gastritis, congenital abnormalities, inflammatory bowel disease, enteritis, colitis, proctitis, duodenal diverticula, malabsorption syndromes, hepatitis, cirrhosis, cysts, abscesses, pancreatitis, polyps, certain hemorrhoids, splenomegaly, hernias, recent abdominal surgery, GI bypass or stomach stapling, and artificial GI openings.

Did you know?

Asthma occurs in one in 11 children and in one in 12 adults. African Americans and Latinos have a higher risk for developing asthma than other groups.

Did you know?

Asthma is the most common chronic childhood disease in the world. Most children who develop asthma have symptoms before they are 5 years old.

Adult moths oviposit within stems of Solidago, forming (b) galls. Adult moths oviposit within stems of Solidago, forming (b) galls.
A diagrammatic section through a typical adult tooth. A diagrammatic section through a typical adult tooth.
Recommended childhood and adolescent immunization schedule, 2009. Recommended childhood and adolescent immunization schedule, 2009.
Equipment Used During the Physical Assessment Equipment Used During the Physical Assessment
Calculating Recommended Fat Intake Calculating Recommended Fat Intake
Video: Genetic terms Animation

For a complete list of videos, visit our video library