A patient who is in an intensive care unit and attached to ...

[crobinson2013]

A patient who is in an intensive care unit and attached to monitors is at risk for which of these conditions?
 
  a. sensory deficit c. sensory overload
  b. sensory deprivation d. disorientation

Question 2

The nurse is evaluating care provided to a client recovering from hip replacement surgery. Which of the following would indicate that the client has achieved the expected outcome for pain management?
 
  1. Medicating for pain with intramuscular injection every 4 hours
   2. Providing pain medication prior to physical therapy
   3. Client using PCA pump around the clock for pain management
   4. Client crying and requesting pain medication prior to morning care

[Dnite]

Answer to Question 1

C
Sensory overload is a state of excessive and sustained multisensory stimulation manifested by behavior change and perceptual distortion. A sensory deficit is a change in the perception of sensory stimuli. Sensory deprivation is a state of reduced sensory input from the internal or external environment. Disorientation is a mentally confused state in which the person's awareness of time, place, self, and/or situation is impaired.

Answer to Question 2

2. Providing pain medication prior to physical therapy

Rationale:
The client's pain needs to be controlled so that the client can participate in physical therapy. When pain medication is provided prior to physical therapy, the client's participation in therapy is enhanced. The other statements indicate the client is still experiencing significant pain, which would hinder participating in therapy and delay discharge.