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15. To implement and monitor the results of an effective and prudent plan for analgesia and sedation in the critically ill intubated patient, there must be:a.at least four providers of care to create consensus for the plan.b.a deadline by which the plan must have been completed.c.a stated, observable, and/or measurable goal for the analgesia and sedation.d.certification of special skills for all providers involved in the patient’s care.ANS:CIt is recommended that a goal for analgesia and sedation be established for all critically ill, intubated, mechanically ventilated patients. Once the sedation goal is articulated and documented, the ongoing use of a validated assessment scale is recommended to facilitate consistency of implementation among all critical care practitioners.16. Which of the following medications would have an advantage in sedating the patient withhead injury?
17. During the second week of stay in the critical care unit, the patient has the following laboratory results: potassium, 6.0 mmol/L; CO2, 36 mEq/L; Cl, 103 mEq/L; HCO3, 38 mEq/L; and dark reddish urine. The nurse recognizes that these results may signal which of the following?18. The patient’s wife is confused about why her husband, who is undergoing alcohol withdrawal symptoms, is wearing a clonidine patch on his arm containing the same blood pressure medication that she takes at home. The nurse will explain to her: