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Table of Contents Y Y
1
Table of Contents
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Chapter 01: Overview of Critica Care Nursing
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Chapter 02: Patient and Family Response to the Critica Care Experience
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Chapter 03: Ethica and Lega Issues in Critica Care Nursing
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30
Chapter 04: Palliative and End-of-Life Care
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42
Chapter 05: Comfort and Sedation
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56
Chapter 06: Nutritiona Therapy
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69
Chapter 07: Dysrhythmia Interpretation and Management
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83
Chapter 08: Hemodynamic Monitoring
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117
Chapter 09: Ventilatory Assistance
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137
Chapter 10: Rapid Response Teams and Code Management
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156
Chapter 11: Organ Donation
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171
Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
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189
Chapter 13: Cardiovascular Alterations
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207
Chapter 14: Nervous System Alterations
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225
Chapter 15: Acute Respiratory Failure
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243
Chapter 16: Acute Kidney Injury
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260
Chapter 17: Gastrointestina Alterations
285
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Chapter 17: Hematologica and Immune DisordersChapter
312
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19: Endocrine Alterations
341
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Chapter 20: Trauma and Surgica Management
361
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Chapter 21: Burns
377
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NURS 440 TEST BANK CRITACA CARE EXAM QUESTIONS AND
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Chapterj l 01:j l Overviewj l ofj l Criticalj l Carej l Nursing
MULTIPLEj l CHOICE
Thejlfamily members of a critically ill, 90-year-old patient bring in a copy of the FY FY FY FY FY FY FY FY FY FY FY FY FY FY
patients living will to the hospital, which identifies the patients wishes regarding health
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care. You discuss contents of the living will withthe patients physician. This is an
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Y FY FY FY FY FY FY
example of implementation of which of the AACN Standards of Professional
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Performance?
a. Acquires and maintains current knowledge of practice FY FY FY FY FY FY
b. Acts ethically on the behalf of the patient and family
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c. Considers factors related to safe patient care FY FY FY FY FY FY
d. Uses clinical inquiry and integrates research FY FY FY FY FY FY
findings in practiceANS: B FY FY F
Y FY
Discussing end-of-life issues is an example of a nurse acting ethically on behalf of the
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patient and family. Theexample does not relate to acquiring knowledge, promoting
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patient safety, or using research in practice.
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DIF: Cognitive Level: Analysis REF: p. 5 | Box 1-2
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OBJ: Describe standards of care and performance for critical
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care nursing.TOP: Nursing Process Step: Implementation
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MSC: NCLEX: Safe and Effective Care Environment
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Which of the following assists the critical care nurse in ensuring that care is
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appropriate and based onresearch? FY FY FY F
Y Y
a. Clinical practice guidelines FY FY
NURS 440 TEST BANK CRITACA CARE EXAM QUESTIONS AND
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b. Computerized physician order entry FY FY FY
c. Consulting with advanced practice nurses FY FY FY FY
d. Implementing Joint Commission National F Y F Y F Y F Y
Patient Safety GoalsANS: A F Y F Y F
Y FY
Clinical practice guidelines are being implemented to ensure that care is
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appropriate and based on research.Some physician order entry pathways, but not
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all, are based on research recommendations. Some advancedpractice nurses, but not
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Y FY FY FY FY
all, are well versed in evidence-based practices. The National Patient Safety Goals are
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Y
recommendations to reduce errors using evidence-based practices. FY FY FY FY FY FY
DIF: Cognitive Level: Analysis REF: p. 7
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OBJ: Describe standards of professional practice for critical care nursing.
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TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
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Comparing the patients current (home) medications with those ordered during FY FY FY FY FY FY FY FY FY FY
hospitalization and communicating a complete list of medications to the next FY FY FY FY FY FY FY FY FY FY FY
provider when the patient is transferred within anorganization or to another setting
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Y FY FY FY FY FY
are strategies to:
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a. improve accuracy of patient identification. FY FY FY FY
b. prevent errors related to look-alike and sound-alike medications.
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c. reconcile medications across the continuum of care. FY FY FY FY FY FY
d. reduce harms associated with administration of anticoagulants.
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NURS 440 TEST BANK CRITACA CARE EXAM QUESTIONS AND
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ANS: C FY
These are steps recommended in the National Patient Safety Goals to reconcile
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medications across the continuum of care. Improving accuracy of patient FY FY FY FY FY FY FY FY FY FY
identification is another National Patient Safety Goal. Preventing errors related to FY FY FY FY FY FY FY FY FY FY FY
look-alike and sound-alike medications is done to improve medication safety, not FY FY FY FY FY FY FY FY FY FY FY
medication reconciliation. Reducing harms associated with administration of F Y F Y F Y F Y F Y F Y F Y F Y
anticoagulants is another Nationa Patient Safety Goal. F Y F Y F Y FY FY FY
DIF: Cognitive Level: Comprehension REF: p. 6 | Box 1-3
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OBJ: Describe quality and safety initiatives related to critical care nursing.
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TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
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As part of nursing management of a critically ill patient, orders are written to
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keep the head of the bed elevated at 30 degrees, awaken the patient from sedation
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each morning to assess readiness to wean frommechanical ventilation, and
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Y FY FY FY
implement oral care protocols every 4 hours. These interventions are done as agroup FY FY FY FY FY FY FY FY FY FY FY FY F
Y FY
to reduce the risk of ventilator-associated pneumonia. This group of evidence-based
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interventions is often called a: FY FY FY FY
a. bundle of care. FY FY
b. clinical practice guideline. FY FY
c. patient safety goal. FY FY
d. quality improvement initiative. F Y F Y
ANS: A FY
A group of evidence-based interventions done as a whole to improve outcomes is
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termed abundle of care. This is an example ofthe ventilator bundle. Oftentimes these
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bundles are derived from clinical practice guidelines and are monitored for compliance
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as part of quality improvement initiatives. At some point, these may becomepart of
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Y FY FY
patient safety goals. FY FY
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