Question 1
A patient scores positive on the Confusion Assessment Method of the Intensive Care Unit (CAM-ICU). Which nursing diagnosis would have the highest priority based on this positive score?
◦ Memory Impaired
◦ Injury, Risk for
◦ Social Interaction, Impaired
◦ Family Processes, Altered
Question 2
Which nursing action would be appropriate when the nurse initiates an infusion of morphine sulfate for a post-operative patient who is experiencing pain?
◦ Anticipate that the patient will begin to experience the effect of the morphine 15 minutes after the start of the infusion.
◦ Provide additional intermittent boluses of morphine sulfate if the patient experiences breakthrough pain.
◦ Begin the infusion at the lowest ordered dose, and increase the rate every 30 minutes if the patient continues to have pain.
◦ Complete the Critical-Care Pain Observation Tool scale 5 minutes after increasing the infusion rate each time.
Phlebitis, nursing
Mechanisms of action of anticoagulants
Nursing Student life
Nursing Interventions for Different Levels of Anxiety
Structure and action of the T7 phage gene 4 helicase
Wong's Essentials of Pediatric Nursing