critical care exam 1 Study Guide Solutions

critical care exam 1 Study Guide Solutions Certification in critical care nursing by the American Association of Critical Care Nurses indicates that a nurse: earned a master's degree in the field of providing advanced critical care nursing. an advanced practice nurse in the care of acutely ill patients. practice independently to provide symptom management for the critically ill. practiced in critical care and successfully completed a test of critical care knowledge. - ANSWER-4. has practiced in critical care and successfully completed a test of critical care knowledge. An appropriate nursing intervention for the patient with delirium in the ICU is to: tranquilizers to establish normal sleep patterns. ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/20 ify the factors contributing to the patient's confusion and irritability. ce all alarms, overhead paging, and conversations around the patient. e the patient with psychotropic drugs to protect the patient from harmful behaviors. - ANSWER-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. ing family at the bedside at preset, brief intervals. individually devised plan with family involved with care and comfort measures. iction of visiting in the ICU because the environment is overwhelming to visitors. - ANSWER-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. ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/20 3. Administration of adrenocorticosteroids. 4. Frequent changes in nurse/client assignment. - ANSWER-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 - ANSWER-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 ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/20 3. Decreasing environmental noise 4. Dimming lights during normal sleep time. - ANSWER-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. - ANSWER-Restricting visitors to certain numbers and hours. 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