Clinical Nursing Skills- A Concept-Based Approach, 4th Edition Pearson Education Test Bank ISBN- 978-0136909507 Chapter 3 Comfort Verified 2024 Practice
... [Show More] Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+ 1) The nurse cares for a neonate who appears in pain. The neonate has tight facial muscles, loud and shrill cry, rapid breathing, tense extremities and is thrashing about.Using the NIPS pain scale, which number will the nurse give the neonate? A) 5 B) 6 C) 7 D) 8 Answer: C Explanation: A) This is the incorrect use of NIPS. B) This is the incorrect use of NIPS. C) The Neonatal Infant Pain Scale (NIPS) is a standardized pain scale used for assessing pain in neonates up to 6 weeks of age. The scale is based on facial expressions, cry, breathing patterns, arm and leg movements, and state of arousal. Tight facial muscles (1 point), loud and shrill cry (2 points), rapid breathing (1 point), tense extremities (2 points), and increased movement (1 point) equal 7 points. D) This is the incorrect use of NIPS. Page Ref: 192 Cognitive Level: Analyzing Client Need/Sub: Physiological Integrity: Reduction of Risk Potential Standards: Nursing Process: Assessment | Learning Outcome: 2.3 | QSEN Competencies: Patient-Centered Care AACN Domains and Comps.: 2.3 Integrate assessment skills in practice. NLN Competencies: Relationship Centered Care 2) The nurse sets up a PCA pump for a postoperative client. Which safety parameters will the nurse use? Select all that apply. A) Dose volume limits B) Partial dose settings C) Dosage limits D) Lockout interval E) Re-programming alarm settings Answer: A, C, D Explanation: A) Dose volume limit parameters limit the amount of drug that the client can receive when the client pushes the control button. This is an important safety parameter the nurse will use. B) There are no partial dose settings on a PCA pump. C) Dosage limits set the dosage limits as specified on the order. This is an important safety parameter the nurse will use. D) The lockout interval is set in order to ensure that doses are not administered too frequently. This is an important safety parameter the nurse will use. E) Alarm settings should not be reprogrammed. Page Ref: 204-205 Cognitive Level: Understanding Client Need/Sub: Safe and Effective Care Environment: Safety and Infection Control Standards: Nursing Process: Intervention | Learning Outcome: 3.5 | QSEN Competencies: Safety AACN Domains and Comps.: 5.2 Contribute to a culture of patient safety. NLN Competencies: Quality & Safety [Show Less]