Essentials Of Critical Care Nursing 3rd
Editon By Perrin
Chapter 1 What Is Critical Care?
1) Identify who of the following patients suffers from critical illness. A patient:
1.With chronic airflow limitation whose VS are: BP 110/72, P 110, R 16.
2.With acute bronchospasm and whose VS are: BP 100/60, P 124, R 32.
3.Who was involved in a motor vehicle accident whose VS are: BP 124/74, P 74, R 18.
4.On chronic dialysis with no urine output and whose VS are: BP 98/50, P 108, R 12.
Answer: 2
Explanation: 1. Acute bronchospasm can present a life-threatening situation, which can
jeopardize a patientʹs survival. #1, #3, and #4 are examples of non-life-
threatening situations. Nursing Process: Assessment
Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
2.Acute bronchospasm can present a life-threatening situation, which can
jeopardize a patientʹs survival. #1, #3, and #4 are examples of non-life-
threatening situations. Nursing Process: Assessment
Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
3.Acute bronchospasm can present a life-threatening situation, which can
jeopardize a patientʹs survival. #1, #3, and #4 are examples of non-life-
threatening situations. Nursing Process: Assessment
Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
4.Acute bronchospasm can present a life-threatening situation, which can
jeopardize a patientʹs survival. #1, #3, and #4 are examples of non-life-
threatening situations. Nursing Process: Assessment
Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
Learning Outcome: 1-1: Define critical care
Understanding the Ess. of Critical Care Nursing (Perrin) -- CVC 12/3/08 -- Page 1
,2) Of the following patients, who should be cared for in a critical care unit? A patient: (Select all
that apply.)
1.With an acetaminophen overdose
2.Suffering from acute mental illness
3.With chronic renal failure
4.With acute decompensated heart failure
Answer: 1, 4
Explanation:1. (Note: This requires multiple responses to be correct.)
Critical care units are cost-efficient units for caring for patients with specific
organ system failure. Although the organ failing in #4 is obvious, patients with
acetaminophen overdose often suffer liver failure as a consequence. #2 and #3
present patient concerns of a noncritical nature.
Nursing Process: Evaluation
Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
2.(Note: This requires multiple responses to be correct.)
Critical care units are cost-efficient units for caring for patients with specific
organ system failure. Although the organ failing in #4 is obvious, patients with
acetaminophen overdose often suffer liver failure as a consequence. #2 and #3
present patient concerns of a noncritical nature.
Nursing Process: Evaluation
Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
3.(Note: This requires multiple responses to be correct.)
Critical care units are cost-efficient units for caring for patients with specific
organ system failure. Although the organ failing in #4 is obvious, patients with
acetaminophen overdose often suffer liver failure as a consequence. #2 and #3
present patient concerns of a noncritical nature.
Nursing Process: Evaluation
Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
4.(Note: This requires multiple responses to be correct.)
Critical care units are cost-efficient units for caring for patients with specific
organ system failure. Although the organ failing in #4 is obvious, patients with
acetaminophen overdose often suffer liver failure as a consequence. #2 and #3
present patient concerns of a noncritical nature.
Nursing Process: Evaluation
Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
Learning Outcome: 1-1: Define critical care
3) A hospital in a small rural town would be able to provide which level of care in the critical care
unit?
1.Level I
2.Level II
3.Level III
4.It is unlikely that the hospital would have a critical care unit
Answer: 3
Explanation: 1. #1 and #2 describe more advanced and inclusive critical care abilities;
#4 is not likely at all because most hospitals have some critical care areas.
Nursing Process: Evaluation
Cognitive Level: Application
Category of Need: Safe, Effective Care Environment–Management of Care
2.#1 and #2 describe more advanced and inclusive critical care abilities; #4 is
not likely at all because most hospitals have some critical care areas.
Understanding the Ess. of Critical Care Nursing (Perrin) -- CVC 12/3/08 -- Page 2
, Nursing Process: Evaluation
Cognitive Level: Application
Category of Need: Safe, Effective Care Environment–Management of Care
3.#1 and #2 describe more advanced and inclusive critical care abilities; #4 is
not likely at all because most hospitals have some critical care areas. Nursing
Process: Evaluation
Cognitive Level: Application
Category of Need: Safe, Effective Care Environment–Management of Care
4.#1 and #2 describe more advanced and inclusive critical care abilities; #4 is
not likely at all because most hospitals have some critical care areas. Nursing
Process: Evaluation
Cognitive Level: Application
Category of Need: Safe, Effective Care Environment–Management of
Care Learning Outcome: 1-2: State the three levels of care provided in critical care units
4) A nurse employed in an ʺopenʺ ICU would most likely be working with a:
1.Multidisciplinary team with physicians who are also responsible for patients on other units.
2.Multidisciplinary team that includes a physician employed by the hospital.
3.Physician in charge of patient care who is a specialist in critical care.
4.Primary care physician who must consult a critical care specialist.
Answer: 1
Explanation:1. #2, #3, and #4 refer to ʺclosedʺ ICUs.
Nursing Process: Evaluation
Cognitive Level: Analysis
Category of Need: Safe, Effective Care Environment–Management of Care
2.#2, #3, and #4 refer to ʺclosedʺ ICUs. Nursing Process: Evaluation
Cognitive Level: Analysis
Category of Need: Safe, Effective Care Environment–Management of Care
3.#2, #3, and #4 refer to ʺclosedʺ ICUs. Nursing Process: Evaluation
Cognitive Level: Analysis
Category of Need: Safe, Effective Care Environment–Management of Care
4.#2, #3, and #4 refer to ʺclosedʺ ICUs. Nursing Process: Evaluation
Cognitive Level: Analysis
Category of Need: Safe, Effective Care Environment–Management of Care
Learning Outcome: 1-3: Compare and contrast ʺopenʺ and ʺclosedʺ critical care units
5) According to the Institute of Medicine, technology increases the likelihood of errors in critical
care units when:
1.It relies heavily on human decision-making.
2.Devices are programmed to function without double-checks.
3.It makes the workload seem overwhelming to health care providers.
4.There is uniform equipment throughout each facility.
Answer: 2
Explanation: 1. #1, #3, and #4 have not been identified to increase the likelihood of errors in
the critical care unit.
Nursing Process: Evaluation
Cognitive Level: Comprehension
Category of Need: Safe, Effective Care Environment–Management of Care
2.#1, #3, and #4 have not been identified to increase the likelihood of errors in
the critical care unit.
Nursing Process: Evaluation
Cognitive Level: Comprehension
Category of Need: Safe, Effective Care Environment–Management of Care
3.#1, #3, and #4 have not been identified to increase the likelihood of errors in
the critical care unit.
Understanding the Ess. of Critical Care Nursing (Perrin) -- CVC 12/3/08 -- Page 3
, Nursing Process: Evaluation
Cognitive Level: Comprehension
Category of Need: Safe, Effective Care Environment–Management of Care
4.#1, #3, and #4 have not been identified to increase the likelihood of errors in
the critical care
unit.
Nursing Process: Evaluation
Cognitive Level: Comprehension
Category of Need: Safe, Effective Care Environment–Management of Care
Learning Outcome: 1-4: Explain why critical care units are one of the most common sites for health care
errors
Understanding the Ess. of Critical Care Nursing (Perrin) -- CVC 12/3/08 -- Page 4