Using a specific pain intensity scale in the CCU a. eliminates ...

[ishan]

Using a specific pain intensity scale in the CCU
 
  a. eliminates the need for the subjectivity of the patient.
  b. allows for one tool for all patient types.
  c. provides consistency of assessment and documentation.
  d. is not necessary because all pain is treated equally in the CCU.

Question 2

A patient was admitted to the critical care unit several weeks ago with an acute myocardial infarction and subsequently underwent coronary artery bypass grafting surgery
 
  Since a cardiac arrest 5 days ago, the patient has been unresponsive. An electroencephalogra m shows no meaningful brain activity. After a family conference, the physician orders a DNR order, and palliative care is begun. This means
 
  a. the patient will continue to receive the same aggressive treatment short of resuscitation if he has another cardiac arrest.
  b. all treatment will be stopped, and the patient will be allowed to die.
  c. all attempts will be made to keep the patient comfortable without prolonging his life.
  d. the patient will be immediately transferred to hospice.

[ktidd]

Answer to Question 1

C
Many CCUs use a specific pain intensity scale because a single tool provides consistency of assessment and documentation. A pain intensity scale is useful in the critical care environment. Asking the patient to grade his or her pain on a scale of 0 to 10 is a consistent method and aids the nurse in objectifying the subjective nature of the patient's pain. However, the patient's tool preference should be considered.

Answer to Question 2

C
When palliative care is begun, the primary goal is to keep the patient comfortable by continuing assessments and managing symptoms that might cause pain, anxiety, or distress.