m m m m m m m
L CARE NURSING 3RD EDITION BY KATHLEEN PERRIN
m m m m m m m
, CARRIE MACLEOD m m
TABLEmOFmCONTENT
1. WhatmismCriticalmCare?
2. CaremofmthemCriticalmIllmPatient
3. CaremofmthemPatientmwithmRespiratorymFailure
4. InterpretationmandmManagementmofmBasicmDysrhythmias
5. CardiodynamicsmandmHemodynamicmRegulation
6. CaremofmthemPatientmExperiencingmShock
7. CaremofmthemPatientmExperiencingmHeartmFailure
8. CaremofmthemPatientmExperiencingmAcutemCoronarymSyndrome
9. CaremofmthemPatientmFollowingmTraumaticmInjury
10. CaremofmthemPatientmExperiencingmanmIntracranialmDysfunction
11. CaremofmthemPatientmWithmamCerebralmormCerbrovascularmDisorder
12. CaremofmthemCriticallymIllmPatientmExperiencingmAlcoholmWithdrawalmand/ormLivermFailure
13. CaremofmthemPatientmWithmanmAcutemGastrointestinalmBleedmormPancreatitis
14. CaremofmthemPatientmwithmProblemsminmGlucosemMetabolism
15. CaremofmthemPatientmwithmAcutemKidneymInjury
16. CaremofmthemOrganmDonormandmTransplantmRecipient
17. CaremofmthemAcutelymIllmBurnmPatient
18. CaremofmthemPatientmwithmSepsis
19. CaremofmthemICUmPatientmatmthemEndmofmLife
, Perrin: Understanding the Essentials of Critical Care Nursing Chapt
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er 1: What is Critical Care?
m m m m m
MULTIPLEm CHOICE.m m Choosem them onem alternativem thatm bestm completesm them statementm orm answersm them
ques
1) Ofmthemfollowingmpatients,mwhomshouldmbemcaredmforminmamcriticalmcaremunit?mAmpatient:m(Selectmall
mthat mapply.)
A) Withm anm acetaminophenm overdose
B) Sufferingmfrommacutemmentalmillness
C) Withmchronicmrenalmfailure
D) Withmacutemdecompensated mheartmfailure
ANSWER:mA,m D
Explanation:m m A)m (Note:m Thism requiresm multiplem responsesm tom bem correct.)
Criticalmcaremunitsmaremc o- me
s tfficient munitsmformcaringmformpatientsmwithmspecificmorgan
systemmfailure.mAlthoughmthemorganmfailingminm#4mismobvious,mpatientsmwithmacetaminop
henmoverdosemoftenmsuffermlivermfailuremasmamconsequence.m#2mandm#3mpresentmpatientmc
oncernsmofmamnoncriticalmnature.
NursingmProcess:mEvaluationmCog
nitivemLevel:mAnalysis
CategorymofmNeed:mPhysiologicalmIntegrity–PhysiologicalmAdaptation
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,B) (Note:mThismrequiresmmultiplemresponsesmtombemcorrect.)
Criticalmcaremunitsmaremc o- me
s tfficient munitsmformcaringmformpatientsmwithmspecificmorgan
systemmfailure.mAlthoughmthemorganmfailingminm#4mismobvious,mpatientsmwithmacetaminop
henmoverdosemoftenmsuffermlivermfailuremasmamconsequence.m#2mandm#3mpresentmpatientmc
oncernsmofmamnoncriticalmnature.
NursingmProcess:mEvaluationmCog
nitivemLevel:mAnalysis
CategorymofmNeed:mPhysiologicalmIntegrity–PhysiologicalmAdaptation
C) (Note:mThismrequiresmmultiplemresponsesmtombemcorrect.)
Criticalmcaremunitsmaremc o- me
s tfficient munitsmformcaringmformpatientsmwithmspecificmorgan
systemmfailure.mAlthoughmthemorganmfailingminm#4mismobvious,mpatientsmwithmacetaminop
henmoverdosemoftenmsuffermlivermfailuremasmamconsequence.m#2mandm#3mpresentmpatientmc
oncernsmofmamnoncriticalmnature.
NursingmProcess:mEvaluationmCog
nitivemLevel:mAnalysis
CategorymofmNeed:mPhysiologicalmIntegrity–PhysiologicalmAdaptation
D) (Note:mThismrequiresmmultiplemresponsesmtombemcorrect.)
Criticalmcaremunitsmaremc o- me
s tfficient munitsmformcaringmformpatientsmwithmspecificmorgan
systemmfailure.mAlthoughmthemorganmfailingminm#4mismobvious,mpatientsmwithmacetaminop
henmoverdosemoftenmsuffermlivermfailuremasmamconsequence.m#2mandm#3mpresentmpatientmc
oncernsmofmamnoncriticalmnature.
NursingmProcess:mEvaluationmCog
nitivemLevel:mAnalysis
CategorymofmNeed:mPhysiologicalmIntegrity–PhysiologicalmAdaptation
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, 2) Amhospitalminmamsmallmruralmtownmwouldmbemablemtomprovidemwhichmlevelmofmcareminmthemcriticalmcaremunit?
A) Levelm I
B) Levelm II
C) Levelm III
D) Itmismunlikelymthatmthemhospitalmwouldmhavemamcriticalmcaremunit
ANSWER:mC
Explanation:m A)m#1mandm#2mdescribemmoremadvancedmandminclusivemcriticalmcaremabilities;m#4mismnotmlike
lymamallmbecausemmostmhospitalsmhavemsomemcriticalmcaremareas.
NursingmProcess:mEvaluatio
nmCognitivemLevel:mApplicati
on
CategorymofmNeed:mSafe,mEffectivemCaremEnvironment–ManagementmofmCare
B) #1mandm#2mdescribemmoremadvancedmandminclusivemcriticalmcaremabilities;m#4mismnotmlikel
ymamallmbecausemmostmhospitalsmhavemsomemcriticalmcaremareas.
NursingmProcess:mEvaluatio
nmCognitivemLevel:mApplicati
on
CategorymofmNeed:mSafe,mEffectivemCaremEnvironment–ManagementmofmCare
C) #1mandm#2mdescribemmoremadvancedmandminclusivemcriticalmcaremabilities;m#4mismnotmlikel
ymamallmbecausemmostmhospitalsmhavemsomemcriticalmcaremareas.
NursingmProcess:mEvaluatio
nmCognitivemLevel:mApplicati
on
CategorymofmNeed:mSafe,mEffectivemCaremEnvironment–ManagementmofmCare
D) #1mandm#2mdescribemmoremadvancedmandminclusivemcriticalmcaremabilities;m#4mismnotmlikel
ymamallmbecausemmostmhospitalsmhavemsomemcriticalmcaremareas.
NursingmProcess:mEvaluatio
nmCognitivemLevel:mApplicati
on
CategorymofmNeed:mSafe,mEffectivemCaremEnvironment–ManagementmofmCare
3) Am nursem employedm inm anm "open"m ICUm wouldm mostm likelym bem workingm withm a:
A) Multidisciplinary mteammwithmphysiciansmwhomaremalsomresponsiblemformpatientsmonmothermunits.
B) Multidisciplinary mteammthatmincludesmamphysicianmemployedmbymthemhospital.
C) Physicianminmchargemofmpatientmcaremwhomismamspecialistminmcriticalmcare.
D) Primarymcaremphysicianmwhommustmconsultmamcriticalmcaremspecialist.
ANSWER:mA
Explanation:m m A)m #2,m #3,m andm #4m referm tom "closed"m ICUs.
NursingmProcess:mEvaluationmCog
nitivemLevel:mAnalysis
CategorymofmNeed:mSafe,mEffectivemCaremEnvironment–ManagementmofmCare
B) #2,m#3,mandm#4mrefermtom"closed"mICU
s.mNursingmProcess:mEvaluation
CognitivemLevel:mAnalysis
CategorymofmNeed:mSafe,mEffectivemCaremEnvironment–ManagementmofmCare
C) #2,m#3,mandm#4mrefermtom"closed"mICU
s.mNursingmProcess:mEvaluation
CognitivemLevel:mAnalysis
CategorymofmNeed:mSafe,mEffectivemCaremEnvironment–ManagementmofmCare
D) #2,m#3,mandm#4mrefermtom"closed"mICU
s.mNursingmProcess:mEvaluation
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