C HAPTER 08: S EDATION AND D ELIRIUM
M ANAGEMENT
Urden: Priorities in Critical Care Nursing, 8th Edition
MULTIPLE CHOICE
1. Which medication is used for sedation in patients experiencing
withdrawal syndrome?
a. Dexmedetomidine
b. Hydromorphone
c. Diazepam
d. Clonidine
ANS: D
Clonidine is a central alpha -agonist and is recommended for sedation
during withdrawal syndrome.
PTS: 1 DIF: Cognitive Level: Remembering OBJ: Nursing
Process Step: Implementation TOP: Sedation and
Delirium Management MSC: NC LEX: Physiological
Integrit y: Pharmacological Therapies
2. A patient was admitted 5 days ago and has just been weaned from
mechanical ventilation. The patient suddenl y becomes confused, seeing
non-existent animals in the room and pulling at the bedding. The n urse
suspects the patient may be experiencing what issue?
, a. Delirium
b. Hypoxemia
c. Hypocalcemia
d. Sedation withdrawal
ANS: A
Delirium is represented by a global impairment of cognitive processes,
usuall y of sudden onset, coupled with disorientation, impaired sh ort-
term memory, altered sensory perceptions (hallucinations), abnormal
thought processes, and inappropriate behavior. There is no evidence
provided that would indicate the patient is hypoxemic, hypocalcemic,
or going through sedation withdrawal.
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing
Process Step: Diagnosis TOP: Sedation and Delirium
Management MSC: NC LEX: Physiological Integrit y:
Reduction of Risk Potential
3. A patient was admitted 5 days ago and has just been weaned from
mechanical v entilation. The patient suddenl y becomes confused, seeing
non-existent animals in the room and pulling at the bedding. What
parameter should be monitored while the patient is haloperidol?
a. Sedation level
b. QTc-interval
c. Oxygen saturation level
d. Brain waves
ANS: B
M ANAGEMENT
Urden: Priorities in Critical Care Nursing, 8th Edition
MULTIPLE CHOICE
1. Which medication is used for sedation in patients experiencing
withdrawal syndrome?
a. Dexmedetomidine
b. Hydromorphone
c. Diazepam
d. Clonidine
ANS: D
Clonidine is a central alpha -agonist and is recommended for sedation
during withdrawal syndrome.
PTS: 1 DIF: Cognitive Level: Remembering OBJ: Nursing
Process Step: Implementation TOP: Sedation and
Delirium Management MSC: NC LEX: Physiological
Integrit y: Pharmacological Therapies
2. A patient was admitted 5 days ago and has just been weaned from
mechanical ventilation. The patient suddenl y becomes confused, seeing
non-existent animals in the room and pulling at the bedding. The n urse
suspects the patient may be experiencing what issue?
, a. Delirium
b. Hypoxemia
c. Hypocalcemia
d. Sedation withdrawal
ANS: A
Delirium is represented by a global impairment of cognitive processes,
usuall y of sudden onset, coupled with disorientation, impaired sh ort-
term memory, altered sensory perceptions (hallucinations), abnormal
thought processes, and inappropriate behavior. There is no evidence
provided that would indicate the patient is hypoxemic, hypocalcemic,
or going through sedation withdrawal.
PTS: 1 DIF: Cognitive Level: Understanding OBJ: Nursing
Process Step: Diagnosis TOP: Sedation and Delirium
Management MSC: NC LEX: Physiological Integrit y:
Reduction of Risk Potential
3. A patient was admitted 5 days ago and has just been weaned from
mechanical v entilation. The patient suddenl y becomes confused, seeing
non-existent animals in the room and pulling at the bedding. What
parameter should be monitored while the patient is haloperidol?
a. Sedation level
b. QTc-interval
c. Oxygen saturation level
d. Brain waves
ANS: B
