A patient is mechanically ventilated and is receiving enteral nutrition via a nasogastric tube. To help ensure feeding tolerance, the nurse checks residual volumes every 4 hours. During a residual check later in the shift, the nurse aspirates a total residual volume of 200 mL. What action should the nurse take next?

The client experienced abdominal surgery the previous day and has just received an opioid medication for report of pain. The client is sitting in a chair next to the bed. An additional activity that the nurse uses to relieve pain is:

A nurse is paying particular attention to the spiritual needs of a client today. The nurse identifies that spiritual beliefs can have a positive effect on general health of a client in which ways? Select all that apply.

Which action would the nurse take if the patient brought to the emergency after hiking in the desert for 2 hours is confused, reports hallucinations, and has a temperature of 104.2°F (40.1°C), dark amber urine, and a serum sodium of 128 mEq/L? (Select all that apply.)

The nurse is assessing a client admitted to the ICU and receiving opioid analgesic intravenously. Which patient is MOST likely to be experiencing a life-threatening opioid side effect?

A client age 56 years is experiencing withdrawal from alcohol and is placing themselves at risk for falls by repeatedly attempting to scale the bedrails. Benzodiazepines have failed to alleviate the client's agitation, and the nurse is considering obtaining an order for physical restraints to ensure client safety. The nurse should recognize that this measure may constitute:

A patient has a new order for intermittent nasogastric feedings every 4 hours. The nasogastric tube is placed by the nurse. What is the most accurate method for confirming the placement of the tube before initiating the feeding?

Why use a specific pain intensity scale in the critical care unit?

Which patient finding supports the nurse's decision to place a patient in the urgent triage category?

A 45-year-old recovering heroin abuser is status post lumbar fusion and is admitted to the intensive care unit for pain management isses related to a diagnosis of degenerative disk disease and associated peripheral neuropathy. The client who is currently prescribed oxycodone/paracetamol 5 mg/325 mg two tablets every 4 hours around the clock, gabapentin 300 mg four times per day methadone 10 mg twice daily. The client is awake alert, and oriented X4 with stable vitals is able to move lower extremities bilaterally, but reports decreased sensations in feet bilaterally and reporting incisional pain as a 10 of 10 on the Numeric Rating Scale (NRS)

Select the medication that can be appropriately prescribed and administered to help address the client's addiction maintenance, and postoperative pain.

Which combinations of drugs have been found to be effective in managing the pain associated with musculoskeletal and soft tissue inflammation?