CCS FINAL EXAM 2 LATEST EXAM ACTUAL EXAM 200 QUESTIONS AND CORRECTLY DETAILED

3. The critical care nurse can best enhance the principle of autonomy by: a. allowing the patient to do as much for himself or herself as possible. b. assisting with only those tasks that cannot be done by the patient. c. providing the patient with all information and facts. d. guiding the patient toward the best choices for care. - ANSWERS ANS: C Autonomy can be viewed as the freedom to make decisions about one's own body without the coercion or interference of others. Patients and families must have all the information about a certain situation to make an autonomous decision that is best for them. Allowing the patient to do as much for himself/herself as possible is the concept of self-care. 12. Injury resulting from the failure to meet an ordinary duty or standard of care is termed: a. negligence. b. malpractice. c. assault. d. battery. - ANSWERS ANS: A Injury resulting from the failure to meet an ordinary duty or standard of care is termed negligence. 7. Nurses in high acuity and emergency settings will be challenged by patients who have attempted suicide or are at risk for doing so. What patient type is least at risk for suicide? a. 23-year-old woman with stage IV breast cancer b. 76-year-old recently widowed man with end-stage chronic obstructive pulmonary disease c. 30-year-old woman with postpartum hemorrhage d. 42-year-old man with acquired immunodeficiency syndrome (AIDS) - ANSWERS ANS: C Depression is mentioned as a causal factor in up to 70% of suicide attempts by people age 15 to 24 years and by people older than 65 years. Suicide rates for persons with AIDS have been reported to be 66 times greater than those for the general population. Bio-psychological events that contribute to suicide may involve living within the limits of a chronic disease or a life-threatening illness. 12. What is the rationale for careful intake and output for the patient with pulmonary alterations? a. Fluid retention occurs with tachypnea. b. Hemodilution may cause deleterious hypernatremia. c. Fluid volume excess can lead to right-sided heart failure. d. Excessive fluid losses may lead to dehydration and hypovolemic shock. - ANSWERS ANS: C Pulmonary edema and failure of the right side of the heart may result from fluid volume excess, which can further worsen the status of the patient with respiratory compromise. 18. Mr. F is admitted to the critical care unit with severe malnutrition as a result of hepatic failure. A triple-lumen central venous catheter is placed in the right subclavian vein and TPN is started. On the third day of infusion, Mr. F has symptoms of fever and chills. Which of the following complications should be suspected? a. Air embolism b. Pneumothorax c. Central venous thrombosis d. Catheter-related sepsis - ANSWERS ANS: D Signs and symptoms of catheter-related sepsis include fever, chills, glucose intolerance, and positive blood cultures.