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Critical Care & Hemodynamics Complete Exam Set Questions and Verified Answers (solutions).docx

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Critical Care & Hemodynamics Complete
Exam Set Questions and Verified
Answers (solutions)
What is an ability that is a primary difference in the skills of a
certified critical care nurse compared with nurses certified in
medical-surgical nursing?
a. Diagnose and treat life-threatening diseases
b. Detect and manage early complications of health problems
c. Provide intensive psychologic support to the patient and family
d. Use advanced technology to assess and maintain physiologic
function -
correct answer ✅d. Use advanced technology to assess and
maintain physiologic function


d. A primary characteristic of certified critical care nurses that is
different from those of certified medical-surgical nurses is the
ability to use advanced technology to measure physiologic
parameters accurately to manage life-threatening complications. All
nursing addresses human responses to health problems and
requires knowledge of physiology, pathophysiology, pharmacology,
and psychologic support to the patient and family. Diagnosis and
treatment of life-threatening diseases are roles of medicine.

,Critical Care & Hemodynamics Complete
Exam Set Questions and Verified
Answers (solutions)
What is a priority nursing intervention for a patient in the ICU who
is experiencing anxiety caused by being in the ICU environment and
sensory overload?
a. Provide flexible visiting schedules for caregivers.
b. Eliminate unnecessary alarms and overhead paging.
c. Administer sedatives or psychotropic drugs to promote rest.
d. Allow the patient to do as many self-care activities as possible. -
correct answer ✅b. Eliminate unnecessary alarms and overhead
paging.


b. Anxiety in the ICU patient may be related to the environment,
which has unfamiliar equipment, high noise and light levels, and an
intense pace of activity that leads to sensory overload. The nurse
should eliminate as much of this source of stress as possible by
muting phones, limiting overhead paging, setting alarms
appropriate to the patient's condition, and eliminating unnecessary
alarms during care when possible. Offering flexible visiting
schedules for family members with input from the patient and
providing as much autonomy in decisions about care as possible are
indicated when impaired communication and loss of control
contribute to the anxiety. Use of sedation to reduce anxiety should

,Critical Care & Hemodynamics Complete
Exam Set Questions and Verified
Answers (solutions)
be carefully evaluated and implemented when nursing measures
are not effective.


Why should the critical care nurse include caregivers of the patient
in the ICU as part of the health care team?
a. The costs of critical care will affect the entire family.
b. Caregivers play a valuable role in the patient's recovery.
c. Caregivers are responsible for making health care decisions for
the patient.
d. Caregivers who are ignored are more likely to question the
patient's quality of care. -
correct answer ✅b. Caregivers play a valuable role in the patient's
recovery.


b. The caregivers of the critically ill patient are very important in the
recovery and well-being of the patient and the extent to which the
family is involved and supported affects the patient's clinical course.
Although the cost of planning and providing critical care is a
concern to caregivers, it is not the major reason that caregivers are
included in the patient's care. Caregivers may be responsible for
making decisions about the patient's care only when the patient is
unable to make personal decisions. Most caregivers have questions

, Critical Care & Hemodynamics Complete
Exam Set Questions and Verified
Answers (solutions)
regarding the patient's quality of care because of anxiety and lack
of information about the patient's condition.


What factor will cause a decrease in cardiac output (CO)?
a. Decreased afterload
b. Decreased heart rate (HR)
c. Increased stroke volume (SV)
d. Decreased systemic vascular resistance (SVR) -
correct answer ✅b. Decreased heart rate (HR)


b. Decreased heart rate (HR) causes decreased cardiac output (CO).
The other options contribute to an increased CO.


The patient with shortness of breath is scheduled for an impedance
cardiography to differentiate if the cause is cardiac or pulmonary.
How should the nurse best explain this test to the patient?
a. It is an invasive method of measuring CO.
b. Electricity is transmitted through the bones in the chest.
c. It will be most effective when the patient has generalized edema.
d. Thoracic fluid status is determined by changes in impedance with

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