critical care exam 1
Care for a client with a chest tube includes:
A. milking the tubing aggressively to maintain patency.
B. encouraging coughing and repositioning
C. clamping the chest tube while transporting the client.
D. keeping the collection apparatus at or above the client's chest level. - ✔️✔️B.
encouraging coughing and repositioning
Primary preventions for the critical care client at risk for delirium are aimed at controlling
the:
1. amount of environmental noise.
2. quality of Stage II sleep each client gets.
3. level of catecholamine secretion.
4. quantity of prostaglandin produced. - ✔️✔️1. amount of environmental noise
An appropriate nursing intervention for the patient with delirium in the ICU is to:
1.use tranquilizers to establish normal sleep patterns.
2.identify the factors contributing to the patient's confusion and irritability.
3.silence all alarms, overhead paging, and conversations around the patient.
4.sedate the patient with psychotropic drugs to protect the patient from harmful
behaviors. - ✔️✔️2. identify the factors contributing to the patient's confusion and
irritability.
The critical care nurse recognizes that an ideal plan for family involvement includes:
1.a family member at the bedside at all times.
2.allowing family at the bedside at preset, brief intervals.
3.an individually devised plan with family involved with care and comfort measures.
4.restriction of visiting in the ICU because the environment is overwhelming to visitors. -
✔️✔️3. an individually devised plan with family involved with care and comfort
measures.
Delirium in ICU patients can hopefully be prevented by which nursing action?
1. Frequent reality orientation.
2. Turning off alarms on monitors to decrease noise.
3. Administration of adrenocorticosteroids.
4. Frequent changes in nurse/client assignment. - ✔️✔️1. Frequent reality orientation.
, Your client has just learned that he requires surgery and expresses worries about his
isolation
from God and church. Which nursing prevention would be taken first to respond to your
diagnosis of "spiritual distress related to surgery"?
1. Staying with the client and listening
2. Asking the client to join you in a prayer
3. Reading a selection from scripture
4. Calling the hospital chaplain - ✔️✔️1. Staying with the client and listening
Which of the following nursing preventions would support the critically ill client's
circadian rhythm cycle?
1. Putting a wall clock up in the client's room.
2. Encouraging normal bowel habits
3. Decreasing environmental noise
4. Dimming lights during normal sleep time. - ✔️✔️4. Dimming lights during normal
sleep time.
Critical care unit staff trying to reinforce the concept of family as client should eliminate
which
behavior?
1. Making food available 24 hours a day
2. Encouraging family to attend rounds
3. Providing accommodations for family to sleep overnight
4. Restricting visitors to certain numbers and hours. - ✔️✔️Restricting visitors to certain
numbers and hours.
Certification in critical care nursing by the American Association of Critical Care Nurses
indicates that a nurse:
1.has earned a master's degree in the field of providing advanced critical care nursing.
2.is an advanced practice nurse in the care of acutely ill patients.
3.may practice independently to provide symptom management for the critically ill.
4.has practiced in critical care and successfully completed a test of critical care
knowledge. - ✔️✔️4. has practiced in critical care and successfully completed a test of
critical care knowledge.
Several large nursing research studies have examined the families of critically ill
patients. Which was NOT considered one of the primary needs of these families?
1. Competent and careful nursing care
2. Assurances of the future
3. Information regarding the patient and care
4. Access to the patient - ✔️✔️2. Assurances of the future
Care for a client with a chest tube includes:
A. milking the tubing aggressively to maintain patency.
B. encouraging coughing and repositioning
C. clamping the chest tube while transporting the client.
D. keeping the collection apparatus at or above the client's chest level. - ✔️✔️B.
encouraging coughing and repositioning
Primary preventions for the critical care client at risk for delirium are aimed at controlling
the:
1. amount of environmental noise.
2. quality of Stage II sleep each client gets.
3. level of catecholamine secretion.
4. quantity of prostaglandin produced. - ✔️✔️1. amount of environmental noise
An appropriate nursing intervention for the patient with delirium in the ICU is to:
1.use tranquilizers to establish normal sleep patterns.
2.identify the factors contributing to the patient's confusion and irritability.
3.silence all alarms, overhead paging, and conversations around the patient.
4.sedate the patient with psychotropic drugs to protect the patient from harmful
behaviors. - ✔️✔️2. identify the factors contributing to the patient's confusion and
irritability.
The critical care nurse recognizes that an ideal plan for family involvement includes:
1.a family member at the bedside at all times.
2.allowing family at the bedside at preset, brief intervals.
3.an individually devised plan with family involved with care and comfort measures.
4.restriction of visiting in the ICU because the environment is overwhelming to visitors. -
✔️✔️3. an individually devised plan with family involved with care and comfort
measures.
Delirium in ICU patients can hopefully be prevented by which nursing action?
1. Frequent reality orientation.
2. Turning off alarms on monitors to decrease noise.
3. Administration of adrenocorticosteroids.
4. Frequent changes in nurse/client assignment. - ✔️✔️1. Frequent reality orientation.
, Your client has just learned that he requires surgery and expresses worries about his
isolation
from God and church. Which nursing prevention would be taken first to respond to your
diagnosis of "spiritual distress related to surgery"?
1. Staying with the client and listening
2. Asking the client to join you in a prayer
3. Reading a selection from scripture
4. Calling the hospital chaplain - ✔️✔️1. Staying with the client and listening
Which of the following nursing preventions would support the critically ill client's
circadian rhythm cycle?
1. Putting a wall clock up in the client's room.
2. Encouraging normal bowel habits
3. Decreasing environmental noise
4. Dimming lights during normal sleep time. - ✔️✔️4. Dimming lights during normal
sleep time.
Critical care unit staff trying to reinforce the concept of family as client should eliminate
which
behavior?
1. Making food available 24 hours a day
2. Encouraging family to attend rounds
3. Providing accommodations for family to sleep overnight
4. Restricting visitors to certain numbers and hours. - ✔️✔️Restricting visitors to certain
numbers and hours.
Certification in critical care nursing by the American Association of Critical Care Nurses
indicates that a nurse:
1.has earned a master's degree in the field of providing advanced critical care nursing.
2.is an advanced practice nurse in the care of acutely ill patients.
3.may practice independently to provide symptom management for the critically ill.
4.has practiced in critical care and successfully completed a test of critical care
knowledge. - ✔️✔️4. has practiced in critical care and successfully completed a test of
critical care knowledge.
Several large nursing research studies have examined the families of critically ill
patients. Which was NOT considered one of the primary needs of these families?
1. Competent and careful nursing care
2. Assurances of the future
3. Information regarding the patient and care
4. Access to the patient - ✔️✔️2. Assurances of the future
