Monitoring the Recovering Ill or Injured Patient: Key Points

Arterial blood pressure measurements are required for many patients. In addition to the blood pressure measurement, the oscillometric method also measures which of the following?

Heart rate

Respiratory rate and ECG

None of the above

All of the above

For some patients, management with analgesics may mask the signs of deterioration due to hypoxia, hypotension, hypercarbia and hypovolemia and therefore, analgesics should be withheld until these parameters are corrected

True

False

The physical assessment of the patient’s fluid volume is essential. Which of the following indicate the early signs of volume overload?

Increased respiratory rate, restlessness

Visibility of saphenous vein

All of the above

None of the above

In addition to monitoring temperature, pulse and respiratory rate, urine production and ability to void is also very important and should be assessed frequently to identify:

Detrusor dysfunction

Urinary tract injuries/obstruction

Fluid volume assessment

All of the above

When calculating fluid requirements for a patient with a temperature of 39.5C, which of the following should be added to the basic fluid volume amount calculated

5% of the daily fluid requirement

10% of the daily fluid requirement

12.5% of the daily fluid requirement

None of the above

Fluid requirement can be assessed by observing the colour of the urine

True

False

For recumbent patients in the ICU passive limb movement may be beneficial in reducing hospital stay

True

False

Following a standard IV bolus dose of an opioid resulting in dysphoria, nausea or panting it can be assumed that the analgesic dose is excessive and the patient is no longer painful

True

False

Where rectal temperature is difficult to obtain due to pain and/or aggression, which of the following routes is recommended for continuing temperature assessment

Oral temperature

Axillary temperature

Rectal temperature with assistance

All of the above

Placement of a urinary catheter is always required for assessment of urine volume produced

True

False

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Monitoring the Recovering Ill or Injured Patient: Key Points