Study Resource Test Bank - Practice Exam Solutions

Study Resource Test Bank - Practice Exam Solutions Different types of environments in the Critical Care Units? - answer - ED PACU ICU Intermediate/Step Down Units What is High Acuity Nursing? - answer - A specialty dealing with human responses to life threatening problems. Its the most intense hands on nursing. How often do you do something for critical patients? - answer - At least every hour. Goal of High Acuity Nursing? - answer - Provide high quality holistic care. What do you do in High Acuity Nursing? - answer - -Analyze critical situations -Make decisions based on this analysis -Rapidly intervene to ensure optimal patient outcomes -Comfortable with uncertainty & patient instability What kind of patients will you see in high acuity nursing? - answer - -Physiologically unstable -At risk for serious complications -Require intense and complicated nursing support and/or the advanced use of technology What do all patients in high acuity nursing have on them at all times? - answer - EKG Monitor Common Problems in high acuity settings? - answer - Respiration/Circulation Nutrition Anxiety Pain Impaired Communication Sensory Perceptual Impairments Sleep Deprivation What can cause anxiety? - answer - Pain. What should you do when patients have pain related anxiety? - answer - Address the pain to reduce the anxiety because it can cause other physiological problems. Sleep deprivation can cause __________ and how to prevent it? - answer - Can cause psychosis! Ensure to keep the lights down and the noise as minimal as possible. What kind of monitoring devices will be used in the high acuity nursing setting? - answer - ECG O2 Sat Arterial Lines Ventilators CVC's Central Venous Pressure Pulmonary Artery Machine Intracranial Pressure Intra-Aortic balloon pumps ETC.. What 6 things does your beside monitor tell you? - answer - EKG Heart Rate Blood Pressure Arterial Pressure O2 Saturation Respiration Rate The arterial line on the monitor is always what color and why? - answer - Arterial line is red because it is always in an artery. Central Venous line is usual what color but could be another? - answer - Usually yellow but could be blue. When you have to transport a patient on a "road trip," what must there always be with the patient? - answer - Portable Vitals Monitor. Where do they do dialysis in high acuity? - answer - At the bedside. Two types of Hemodynamic Monitoring? - answer - Arterial Line Central Line What is an Arterial Line? - answer - For arterial blood pressure monitoring What is a Central Venous Catheter? - answer - For central venous pressure monitoring Where are CVC's usually placed in the heart? - answer - Superior Vena Cava. What does a transducer do? - answer - Sensor takes the blood out into equipment that sends that information to the monitor. 3 Types of CVC's - answer - PICC Subclavian Jugular Where is an arterial line usually placed? - answer - Radial Artery What is usually hung in the pressure bag? - answer - Normal Saline Occasionally Heparinized Solution What is the purpose of an Arterial Line Pressure Bag is for? - answer - Greater pressure has to be outside or the blood will back flow (22 min on rec 1) Why is it so important that the transducer is in the right place? - answer - Because it has to be at a certain level to give off the correct reading. How to know if the transducer is in the correct place? - answer - Little bubble and ruler is even with the transducer in the phlebostatic axis. Where is the Phlebostatic Axis? - answer - 4th intercostal space at the midway point of the anterior-posterior diameter of the chest wall. Between the right and the left atrium of the heart. Arterial Pressure Monitoring allows for ________ to _________ analysis? - answer - Beat to Beat Analysis 4 Reasons a patient would have an arterial line? - answer - Frequent ABG's Continuous Blood Pressures Receiving medications that affect cardiac status Unstable Golden Rule of alarms? - answer - Never