Treating pain should be a priority over providing sedation. True or False
True
False
The Correct Answer is A
True is correct because in patient care, pain management is a priority over sedation. Unrelieved pain can lead to physiological stress responses such as increased heart rate, blood pressure, and oxygen demand, which may worsen underlying conditions, especially in cardiac, surgical, or critically ill patients. Pain also impacts recovery, mobility, and overall patient comfort. Sedation, while sometimes necessary for patient comfort or procedural purposes, does not treat the underlying pain. Providing sedation without addressing pain can mask symptoms, delay diagnosis, or lead to unnecessary complications. Prioritizing pain management is consistent with patient-centered care principles and guidelines from organizations such as the American Nurses Association (ANA) and the World Health Organization (WHO).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. QSEN focuses on preparing nurses with knowledge, skills, and attitudes to improve patient safety and quality of care. While relevant to overall safety, it does not specifically guide matching nurse competencies to patient acuity in assignments.
B. These goals, established by The Joint Commission, provide specific safety standards for areas such as medication administration, infection control, and patient identification. They do not address individualized nurse-patient assignments based on skill and patient acuity.
C. The Synergy Model links patient needs with nurse competencies, emphasizing that patient outcomes are optimized when the nurse’s experience, expertise, and certification match patient complexity and acuity. In this scenario, the most experienced nurse is assigned the most critically ill patient, while the less experienced nurse cares for more stable patients, reflecting synergy between patient needs and nurse competencies.
D. Crew resource management focuses on team communication, decision-making, and error reduction, originally in aviation and applied in healthcare to improve safety. It does not specifically guide nurse-patient assignment based on competency.
Correct Answer is D
Explanation
A. Metabolic acidosis results from increased acid production, decreased acid excretion, or bicarbonate loss (e.g., diabetic ketoacidosis, renal failure, diarrhea). The scenario describes hypoventilation due to opioid-induced respiratory depression, which is a respiratory problem, not a metabolic one.
B. Respiratory alkalosis occurs when there is hyperventilation, leading to excessive carbon dioxide elimination (PaCO₂ < 35 mm Hg). In this patient, morphine depresses spontaneous respirations, causing hypoventilation, not hyperventilation.
C. Metabolic alkalosis results from bicarbonate excess or hydrogen ion loss (e.g., vomiting, diuretics), which is unrelated to this patient’s ventilatory changes.
D. Respiratory acidosis occurs when alveolar ventilation decreases, causing carbon dioxide retention (PaCO₂ > 45 mm Hg) and lowering pH. Morphine sulfate depresses the patient’s spontaneous respirations from 12 to 4 breaths per minute, significantly reducing CO₂ elimination. Since the SIMV rate is low (4 breaths/min), total ventilation is inadequate, leading to CO₂ accumulation and respiratory acidosis.
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