COMPLETE TEST BANK
Critical Care Nursing: A Holistic Approach 11th Edition by Patricia Gonce Morton
RN PhD ACNP-BC FAAN, Dorrie K. Fontaine RN PhD FAAN ||ALL CHAPTERS WITH ANSWER KEY
11th Edition
,Table of Contents
Part 1: The Concept of Holism Applied to Critical Care Nursing
Practice ..................................................................................................... 5
Chapter 1 Critical Care Nursing Practice ..................................................................................... 5
Chapter 2 The Patient’s Experience With Critical Illness .......................................................... 13
Chapter 3 Patient and Family Education in Critical Care ........................................................... 27
Chapter 4 Relieving Pain and Providing Comfort ...................................................................... 34
Chapter 5 Palliative and End-of-Life Care Issues in Critical Care............................................... 42
Chapter 6 Ethical and Legal Issues in Critical Care Nursing ...................................................... 49
Part 2: Special Populations in Critical Care ........................................... 64
Chapter 7 The Critically Ill Pediatric Patient .............................................................................. 64
Chapter 8 The Pregnant Patient Who Is Critically Ill ................................................................. 72
Chapter 9 The Older Adult Patient Who Is Critically Ill ............................................................. 80
Chapter 10 The Patient Recovering from Anesthesia ............................................................... 88
Part 3: Special Situations in Critical Care ............................................. 95
Chapter 11 Rapid Response Teams and Transport of Patients Who Are Critically Ill................ 95
Chapter 12 Disaster Management: Implications for the Critical Care Nurse .......................... 102
Part 4: Cardiovascular System ............................................................. 109
Chapter 13 Anatomy and Physiology of the Cardiovascular System ...................................... 109
Chapter 14 Patient Assessment: Cardiovascular System ........................................................ 116
Chapter 15 Patient Management: Cardiovascular System ..................................................... 122
Chapter 16 Common Cardiac Disorders .................................................................................. 130
Chapter 17 Heart Failure ......................................................................................................... 137
Chapter 18 Acute Coronary Syndromes.................................................................................. 145
Chapter 19 Cardiac Surgery .................................................................................................... 153
Part 5: Respiratory System ................................................................... 160
Chapter 20 Anatomy and Physiology of the Respiratory System............................................ 160
Chapter 21 Patient Assessment: Respiratory System ............................................................. 166
Chapter 22 Patient Management: Respiratory System ........................................................... 173
, Chapter 23 Common Respiratory Disorders ........................................................................... 182
Chapter 24 acute respiratory distress syndrome .................................................................... 189
Part 6: Renal System ............................................................................. 197
Chapter 25 Anatomy and Physiology of the Renal System ..................................................... 197
Chapter 26 Patient Assessment: Renal System ....................................................................... 203
Chapter 27 Patient Management: Renal System .................................................................... 210
Chapter 28 Acute Kidney Injury and Chronic Kidney Disease ................................................. 217
Part 7: Nervous System ........................................................................ 224
Chapter 29 Anatomy and Physiology of the Nervous System................................................. 224
Chapter 30 Patient Assessment: Nervous System .................................................................. 231
Chapter 31 Patient Management: Nervous System................................................................ 238
Chapter 32 Common Neurosurgical and Neurological Disorders ........................................... 245
Chapter 33 Traumatic Brain Injury .......................................................................................... 252
Chapter 34 Spinal Cord Injury ................................................................................................. 259
Part 8: Gastrointestinal System ........................................................... 266
Chapter 35 Anatomy and Physiology of the Gastrointestinal System .................................... 266
Chapter 36 Patient Assessment: Gastrointestinal System ...................................................... 272
Chapter 37 Patient Management: Gastrointestinal System ................................................... 278
Chapter 38 Common Gastrointestinal Disorders .................................................................... 284
Chapter 39 Anatomy and Physiology of the Endocrine System .............................................. 292
Chapter 40 Patient Assessment: Endocrine System ............................................................... 299
Chapter 41 Common Endocrine Disorders ............................................................................. 305
Part 10: Hematologic and Immune Systems ........................................ 313
Chapter 42 Anatomy and Physiology of the Hematological and Immune Systems ................ 313
Chapter 43 Patient Assessment: Hematologic and Immune Systems .................................... 319
Chapter 44 Organ and Hematopoietic Stem Cell Transplantation .......................................... 326
Chapter 45 Common Immunological Disorders ...................................................................... 334
Chapter 46 Common Hematological Disorders ...................................................................... 341
Part 11: Integumentary System ........................................................... 347
, Chapter 47 Anatomy and Physiology of the Integumentary System ...................................... 347
Chapter 48 Patient Assessment: Integumentary System ........................................................ 354
Chapter 49 Patient Management: Integumentary System ..................................................... 362
Chapter 50 Burns and Common Integumentary Disorders .................................................... 369
Part 12: Multisystem Dysfunction ........................................................ 377
Chapter 51 Shock, Systemic Inflammatory Response Syndrome/Multiple Organ Dysfunction
................................................................................................................................................. 377
Chapter 52 Trauma.................................................................................................................. 385
Chapter 53 Drug Overdose and Poisoning .............................................................................. 392
,Part 1: The Concept of Holism Applied to Critical Care
Nursing Practice
Chapter 1 Critical Care Nursing Practice
• A nurse is the only one in the ICU who has not achieved certification in critical care
nursing. She often will ask her fellow nurses what to do in caring for a patient because she
doubts the accuracy of her knowledge and her intuition. She loves her work but wishes she
could do it with a greater level of competence. What is the most important effect that obtaining
certification would likely have on the nurses practice?
A. Recognition by peers
B. Increase in salary and rank
C. More flexibility in seeking employment
D. Increased confidence in making decisions
• A hospital interviews two different candidates for a position in the ICU. Both candidates
have around 10 years of experience working in the ICU. Both have excellent interpersonal skills
and highly positive references. One, however, has certification in critical care nursing. Which of
the following is the most compelling and accurate reason for the hospital to hire the candidate
with certification?
A. The certified nurse will have more knowledge and expertise.
B. The certified nurse will behave more ethically.
C. The certified nurse will be more caring toward patients.
D. The certified nurse will work more collaboratively with other nurses.
• A nurse is caring for an elderly man recently admitted to the ICU following a stroke. She
assesses his cognitive function using a new cognitive assessment test she learned about in a
recent article in a nursing journal. She then brings a cup of water and a straw to the patient
because she observes that his lips are dry. Later, she has the patient sit in a wheelchair and
takes him to have some blood tests performed. He objects at first, saying that he can walk on his
own, but the nurse explains that it is hospital policy to use the wheelchair. That evening, she
recognizes signs of an imminent stroke in the patient and immediately pages the physician.
Which action taken by the nurse is the best example of evidence-based practice?
, A. Giving the patient a cup of water
B. Transferring the patient in a wheelchair
C. Using the cognitive assessment test
D. Recognizing signs of imminent stroke and paging the physician
• A nurse is on a committee that is trying to reduce the occurrence of hospital-acquired
infections in the ICU. Her role is to conduct research to find which interventions have been
shown to be most effective in reducing these infections. She consults many different sources
and finds conflicting information. Which of the following sources should she consider the most
authoritative?
A. AACN expert panel report
B. A meta-analysis of randomized controlled trials in the American Journal of Nursing
C. A systematic review of qualitative studies in the Journal of Advanced Nursing
D. A single randomized controlled trial in the American Journal of Critical Care
• A nurse who has been recently hired to manage the nursing staff of the ICU is concerned
at the lack of evidence-based practice she sees among the staff. Which of the following would
be the best step for her to take to promote incorporating evidence into clinical practice?
A. Only hire nurses certified in critical care nursing.
B. Leave copies of several different nursing journals in the nurses lounge.
C. Demonstrate to the staff the best nursing-related search terms to use in Google or
Yahoo!
D. Introduce the staff to the pubmed search engine and assign them topics to research on
it.
• A physician visits a patient in the ICU while the nurse is out. The patient complains that
the pain medication is not effective and that he would like to receive an increased dose. The
physician has the nurse paged and consults with him in the hallway regarding the patients
request for stronger pain medication. The nurse explains that patient was started on a morphine
drip only 20 minutes ago and that the drug has not had time to take effect yet. The physician
agrees and tells the patient to give it just a bit more time. Which component of a healthy work
environment is most evident in this scenario?
Critical Care Nursing: A Holistic Approach 11th Edition by Patricia Gonce Morton
RN PhD ACNP-BC FAAN, Dorrie K. Fontaine RN PhD FAAN ||ALL CHAPTERS WITH ANSWER KEY
11th Edition
,Table of Contents
Part 1: The Concept of Holism Applied to Critical Care Nursing
Practice ..................................................................................................... 5
Chapter 1 Critical Care Nursing Practice ..................................................................................... 5
Chapter 2 The Patient’s Experience With Critical Illness .......................................................... 13
Chapter 3 Patient and Family Education in Critical Care ........................................................... 27
Chapter 4 Relieving Pain and Providing Comfort ...................................................................... 34
Chapter 5 Palliative and End-of-Life Care Issues in Critical Care............................................... 42
Chapter 6 Ethical and Legal Issues in Critical Care Nursing ...................................................... 49
Part 2: Special Populations in Critical Care ........................................... 64
Chapter 7 The Critically Ill Pediatric Patient .............................................................................. 64
Chapter 8 The Pregnant Patient Who Is Critically Ill ................................................................. 72
Chapter 9 The Older Adult Patient Who Is Critically Ill ............................................................. 80
Chapter 10 The Patient Recovering from Anesthesia ............................................................... 88
Part 3: Special Situations in Critical Care ............................................. 95
Chapter 11 Rapid Response Teams and Transport of Patients Who Are Critically Ill................ 95
Chapter 12 Disaster Management: Implications for the Critical Care Nurse .......................... 102
Part 4: Cardiovascular System ............................................................. 109
Chapter 13 Anatomy and Physiology of the Cardiovascular System ...................................... 109
Chapter 14 Patient Assessment: Cardiovascular System ........................................................ 116
Chapter 15 Patient Management: Cardiovascular System ..................................................... 122
Chapter 16 Common Cardiac Disorders .................................................................................. 130
Chapter 17 Heart Failure ......................................................................................................... 137
Chapter 18 Acute Coronary Syndromes.................................................................................. 145
Chapter 19 Cardiac Surgery .................................................................................................... 153
Part 5: Respiratory System ................................................................... 160
Chapter 20 Anatomy and Physiology of the Respiratory System............................................ 160
Chapter 21 Patient Assessment: Respiratory System ............................................................. 166
Chapter 22 Patient Management: Respiratory System ........................................................... 173
, Chapter 23 Common Respiratory Disorders ........................................................................... 182
Chapter 24 acute respiratory distress syndrome .................................................................... 189
Part 6: Renal System ............................................................................. 197
Chapter 25 Anatomy and Physiology of the Renal System ..................................................... 197
Chapter 26 Patient Assessment: Renal System ....................................................................... 203
Chapter 27 Patient Management: Renal System .................................................................... 210
Chapter 28 Acute Kidney Injury and Chronic Kidney Disease ................................................. 217
Part 7: Nervous System ........................................................................ 224
Chapter 29 Anatomy and Physiology of the Nervous System................................................. 224
Chapter 30 Patient Assessment: Nervous System .................................................................. 231
Chapter 31 Patient Management: Nervous System................................................................ 238
Chapter 32 Common Neurosurgical and Neurological Disorders ........................................... 245
Chapter 33 Traumatic Brain Injury .......................................................................................... 252
Chapter 34 Spinal Cord Injury ................................................................................................. 259
Part 8: Gastrointestinal System ........................................................... 266
Chapter 35 Anatomy and Physiology of the Gastrointestinal System .................................... 266
Chapter 36 Patient Assessment: Gastrointestinal System ...................................................... 272
Chapter 37 Patient Management: Gastrointestinal System ................................................... 278
Chapter 38 Common Gastrointestinal Disorders .................................................................... 284
Chapter 39 Anatomy and Physiology of the Endocrine System .............................................. 292
Chapter 40 Patient Assessment: Endocrine System ............................................................... 299
Chapter 41 Common Endocrine Disorders ............................................................................. 305
Part 10: Hematologic and Immune Systems ........................................ 313
Chapter 42 Anatomy and Physiology of the Hematological and Immune Systems ................ 313
Chapter 43 Patient Assessment: Hematologic and Immune Systems .................................... 319
Chapter 44 Organ and Hematopoietic Stem Cell Transplantation .......................................... 326
Chapter 45 Common Immunological Disorders ...................................................................... 334
Chapter 46 Common Hematological Disorders ...................................................................... 341
Part 11: Integumentary System ........................................................... 347
, Chapter 47 Anatomy and Physiology of the Integumentary System ...................................... 347
Chapter 48 Patient Assessment: Integumentary System ........................................................ 354
Chapter 49 Patient Management: Integumentary System ..................................................... 362
Chapter 50 Burns and Common Integumentary Disorders .................................................... 369
Part 12: Multisystem Dysfunction ........................................................ 377
Chapter 51 Shock, Systemic Inflammatory Response Syndrome/Multiple Organ Dysfunction
................................................................................................................................................. 377
Chapter 52 Trauma.................................................................................................................. 385
Chapter 53 Drug Overdose and Poisoning .............................................................................. 392
,Part 1: The Concept of Holism Applied to Critical Care
Nursing Practice
Chapter 1 Critical Care Nursing Practice
• A nurse is the only one in the ICU who has not achieved certification in critical care
nursing. She often will ask her fellow nurses what to do in caring for a patient because she
doubts the accuracy of her knowledge and her intuition. She loves her work but wishes she
could do it with a greater level of competence. What is the most important effect that obtaining
certification would likely have on the nurses practice?
A. Recognition by peers
B. Increase in salary and rank
C. More flexibility in seeking employment
D. Increased confidence in making decisions
• A hospital interviews two different candidates for a position in the ICU. Both candidates
have around 10 years of experience working in the ICU. Both have excellent interpersonal skills
and highly positive references. One, however, has certification in critical care nursing. Which of
the following is the most compelling and accurate reason for the hospital to hire the candidate
with certification?
A. The certified nurse will have more knowledge and expertise.
B. The certified nurse will behave more ethically.
C. The certified nurse will be more caring toward patients.
D. The certified nurse will work more collaboratively with other nurses.
• A nurse is caring for an elderly man recently admitted to the ICU following a stroke. She
assesses his cognitive function using a new cognitive assessment test she learned about in a
recent article in a nursing journal. She then brings a cup of water and a straw to the patient
because she observes that his lips are dry. Later, she has the patient sit in a wheelchair and
takes him to have some blood tests performed. He objects at first, saying that he can walk on his
own, but the nurse explains that it is hospital policy to use the wheelchair. That evening, she
recognizes signs of an imminent stroke in the patient and immediately pages the physician.
Which action taken by the nurse is the best example of evidence-based practice?
, A. Giving the patient a cup of water
B. Transferring the patient in a wheelchair
C. Using the cognitive assessment test
D. Recognizing signs of imminent stroke and paging the physician
• A nurse is on a committee that is trying to reduce the occurrence of hospital-acquired
infections in the ICU. Her role is to conduct research to find which interventions have been
shown to be most effective in reducing these infections. She consults many different sources
and finds conflicting information. Which of the following sources should she consider the most
authoritative?
A. AACN expert panel report
B. A meta-analysis of randomized controlled trials in the American Journal of Nursing
C. A systematic review of qualitative studies in the Journal of Advanced Nursing
D. A single randomized controlled trial in the American Journal of Critical Care
• A nurse who has been recently hired to manage the nursing staff of the ICU is concerned
at the lack of evidence-based practice she sees among the staff. Which of the following would
be the best step for her to take to promote incorporating evidence into clinical practice?
A. Only hire nurses certified in critical care nursing.
B. Leave copies of several different nursing journals in the nurses lounge.
C. Demonstrate to the staff the best nursing-related search terms to use in Google or
Yahoo!
D. Introduce the staff to the pubmed search engine and assign them topics to research on
it.
• A physician visits a patient in the ICU while the nurse is out. The patient complains that
the pain medication is not effective and that he would like to receive an increased dose. The
physician has the nurse paged and consults with him in the hallway regarding the patients
request for stronger pain medication. The nurse explains that patient was started on a morphine
drip only 20 minutes ago and that the drug has not had time to take effect yet. The physician
agrees and tells the patient to give it just a bit more time. Which component of a healthy work
environment is most evident in this scenario?
