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Exam (elaborations)

Essentials of Critical Care Nursing Chapter 1 Introduction Questions and Correct Detailed Answers (Verified Answers) ||Already Graded A+||Newest Version

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Essentials of Critical Care Nursing Chapter 1 Introduction Questions and Correct Detailed Answers (Verified Answers) ||Already Graded A+||Newest VersionEssentials of Critical Care Nursing Chapter 1 Introduction Questions and Correct Detailed Answers (Verified Answers) ||Already Graded A+||Newest Version

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Essentials of Critical Care Nursing Chapter 1
Introduction Questions and Correct Detailed
Answers (Verified Answers) ||Already Graded
A+||Newest Version
Quiz: Which patient would the nurse identify as experiencing a critical illness? The patient:

1. With chronic airflow limitation whose VS are BP 110/72, P 110, R 16

2. With acute bronchospasm and whose VS are BP 100/60, P 124, R 32

3. Who was involved in a motor vehicle crash whose VS are BP 124/74, P 74, R 18

4. On hemodialysis for chronic renal failure with no urine output and whose VS are BP
98/50, P 108, R 12

Ans: Correct Answer: 2

Rationale 1: The blood pressure and respiratory rate are considered within normal limits.
The heart rate is slightly elevated. Based upon these vital signs, this patient is not critically
ill.

Rationale 2: Acute bronchospasm can present a life-threatening situation, which can
jeopardize a patient's survival. The patient's pulse and respiratory rate are elevated, which
could indicate a critical illness.

Rationale 3: According to the vital signs, this patient is not critically ill despite being in a
motor vehicle crash.

Rationale 4: The patient on receiving hemodialysis for chronic renal failure is not
considered critically ill unless another disease process or health issue develops. The
patient's vital signs are consistent with someone with chronic renal failure.



Quiz: Of the following patients, which will the nurse expect to be transferred to a
critical care unit? The patient:


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, Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. With an acetaminophen overdose

2. Suffering from acute mental illness

3. With chronic renal failure

4. With acute decompensated heart failure

5. With bacteremia from an infected foot wound

Ans: Correct Answer: 1,4,5

Rationale 1: Critical care units are cost-efficient units for caring for patients with specific
organ system failure. Patients with acetaminophen overdose often suffer liver failure as a
consequence.

Rationale 2: A patient with acute mental illness would not receive care in a critical care
unit. This health problem would be considered noncritical.

Rationale 3: Even though critical care units are cost-efficient units for caring for patients
with specific organ system failure, chronic renal failure is not a disease process
necessitating the critical care environment.

Rationale 4: The patient with acute decompensated heart failure would receive care in a
critical care unit. This patient has a specific organ that has failed.

Rationale 5: Bacteremia can affect many organs and lead to multisystem organ failure. This
patient would receive care in a critical care unit.



Quiz: The nurse, employed in a hospital in a small rural town, would expect to provide
which level of care in the critical care unit?

1. Level I

2. Level II
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, 3. Level III

4. It is unlikely that the hospital would have a critical care unit.

Ans: Correct Answer: 3

Rationale 1: This level of care is provided most likely within teaching hospitals and not in a
rural facility.

Rationale 2: This level is able to provide comprehensive critical care for most disorders but
the unit may not be able to care for specific types of patients. It is unlikely that this level of
care would be available in a small rural facility.

Rationale 3: Level III facilities provide initial stabilization of critically ill patients but limited
ability to provide comprehensive critical care. A limited number of patients who require
routine care may remain in the facility but written policies should be in place determining
which patients require transfer and where they ought to be transferred. This level of care
is most likely provided in a small rural facility.

Rationale 4: Most hospitals have some level of critical care area.



Quiz: The nurse, providing patient care in an "open" ICU, would most likely be working
with a:

1. Multidisciplinary team with physicians who are also responsible for patients on other units

2. Multidisciplinary team that includes a physician employed by the hospital

3. Physician in charge of patient care who is a specialist in critical care

4. Primary care physician who must consult a critical care specialist




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