1
f Contents
Xt
Table of Contents
Xt Xt
1
Chapter 01: Overview of Critical Care Nursing
Xt Xt Xt Xt Xt Xt Chapter Xt
Chapter 02: Patient and Family Response to the Critical Care Experi
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt 12: Shoc Xt
enceChapter 03: Ethical and Legal Issues in Critical Care Nursing
X
t Xt Xt Xt Xt Xt Xt Xt Xt Xt k, Sepsis
Xt
Chapter 04: Palliative and End-of-
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Life CareChapter 05: Comfort and Se
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t Xt X t X t X t ltiple Org Xt
dation Chapter 06: Nutritional Therapy
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Xt
Chapter 07: Dysrhythmia Interpretation and Management
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t nction Sy Xt
Chapter 08: Hemodynamic Monitoring
Xt Xt Xt ndromeC X
t
Chapter 09: Ventilatory Assistance
Xt Xt Xt hapter 13 Xt
Chapter 10: Rapid Response Teams and Code Manage
Xt Xt Xt Xt Xt Xt Xt : Cardiov
Xt
mentChapter 11: Organ Donation
X
t Xt Xt Xt ascular A Xt
[Date] 1
,2
lterations 2
Chapter 14: Nervous System Alteratio
Xt Xt Xt Xt 14
nsChapter 15: Acute Respiratory Failu
X
t Xt Xt Xt Xt 30
re Chapter 16: Acute Kidney Injury
Xt Xt X t X t X t Xt 42
Chapter 17: Gastrointestinal Alteration
Xt Xt Xt
56
s 69
Chapter 17: Hematological and Immune DisordersCh
Xt Xt Xt Xt Xt X
t
83
apter 19: Endocrine Alterations
Xt Xt Xt
117
Chapter 20: Trauma and Surgical Managem
Xt Xt Xt Xt Xt
137
entChapter 21: Burns
X
t Xt Xt
156
171
189
207
225
243
260
285
312
341
361
377
[Date] 2
,3
Chapter 01: Overview of Critical Care Nursing
Xt Xt Xt Xt Xt Xt
MULTIPLE CHOICE Xt
1. Which of the following professional organizations best supports critical care nursing practice?
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a. American Association of Critical-Care Nurses
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b. American Heart Association Xt Xt
c. American Nurses Association Xt Xt
d. Society of Critical Care Med Xt Xt Xt Xt
icineANS: A X
t Xt
The American Association of Critical-
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Care Nurses is the specialty organization that supports and represents critical care nurses. Th
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e American Heart Association supports cardiovascular initiatives. The American Nurses Associa
Xt Xt Xt Xt Xt Xt Xt Xt Xt X
t
tion supports all nurses. The Society of Critical Care Medicine represents the multiprofessional
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critical care team under the direction of an intensivist.
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DIF: Cognitive Level: Knowledge REF: p. 4
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OBJ: Discuss the purposes and functions of the professional organizations that support critical c
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are practice.TOP: Nursing Process Step: N/A
Xt X
t Xt Xt Xt Xt
MSC: NCLEX: Safe and Effective Care Environment
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2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and
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is interested in certification. Which credential would be most applicable for her to seek?
Xt Xt Xt X
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a. ACNPC
b. CCNS
c. CCRN
[Date] 3
, 4
d. PCCN
ANS: C Xt
The CCRN certification is appropriate for nurses in bedside practice who care for critically
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Xt ill patients. The ACNPC certification is for acute care nurse practitioners. The CCNS certific
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t Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
ation is for critical care clinical nurse specialists. The PCCN certification is for staff nurses wo
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
rking in progressive care, intermediate care, or step-down unit settings.
Xt Xt Xt Xt Xt Xt X
t Xt Xt
DIF: Cognitive Level: Application REF: p. 5
Xt Xt Xt Xt Xt Xt
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process St
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
ep: N/A MSC: NCLEX: Safe and Effective Care Environment
Xt X
t Xt Xt Xt Xt Xt Xt
3. The main purpose of certification is to:
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a. assure the consumer that you will not make a mistake.
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b. prepare for graduate school. Xt Xt Xt
c. promote magnet status for your facility. Xt Xt Xt Xt Xt
d. validate knowledge of critical care nursing.
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ANS: D Xt
Certification assists in validating knowledge of the field, promotes excellence in the professi
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on, and helps nurses to maintain their knowledge of critical care nursing. Certification helps to
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assure the consumer that the nurse has a minimum level of knowledge; however, it does not en
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t Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
sure that care will be mistake-free.
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Certification does not prepare one for graduate school; however, achieving certification dem
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
onstrates motivation for achievement and professionalism. Magnet facilities are rated on the nu
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
mber of certified nurses; however, that is not the purpose of certification.
Xt Xt Xt X
t Xt Xt Xt Xt Xt Xt Xt
[Date] 4
f Contents
Xt
Table of Contents
Xt Xt
1
Chapter 01: Overview of Critical Care Nursing
Xt Xt Xt Xt Xt Xt Chapter Xt
Chapter 02: Patient and Family Response to the Critical Care Experi
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt 12: Shoc Xt
enceChapter 03: Ethical and Legal Issues in Critical Care Nursing
X
t Xt Xt Xt Xt Xt Xt Xt Xt Xt k, Sepsis
Xt
Chapter 04: Palliative and End-of-
Xt Xt Xt Xt , and Mu
Xt Xt
Life CareChapter 05: Comfort and Se
Xt X
t Xt X t X t X t ltiple Org Xt
dation Chapter 06: Nutritional Therapy
Xt Xt Xt Xt an Dysfu
Xt
Chapter 07: Dysrhythmia Interpretation and Management
Xt Xt Xt Xt Xt X
t nction Sy Xt
Chapter 08: Hemodynamic Monitoring
Xt Xt Xt ndromeC X
t
Chapter 09: Ventilatory Assistance
Xt Xt Xt hapter 13 Xt
Chapter 10: Rapid Response Teams and Code Manage
Xt Xt Xt Xt Xt Xt Xt : Cardiov
Xt
mentChapter 11: Organ Donation
X
t Xt Xt Xt ascular A Xt
[Date] 1
,2
lterations 2
Chapter 14: Nervous System Alteratio
Xt Xt Xt Xt 14
nsChapter 15: Acute Respiratory Failu
X
t Xt Xt Xt Xt 30
re Chapter 16: Acute Kidney Injury
Xt Xt X t X t X t Xt 42
Chapter 17: Gastrointestinal Alteration
Xt Xt Xt
56
s 69
Chapter 17: Hematological and Immune DisordersCh
Xt Xt Xt Xt Xt X
t
83
apter 19: Endocrine Alterations
Xt Xt Xt
117
Chapter 20: Trauma and Surgical Managem
Xt Xt Xt Xt Xt
137
entChapter 21: Burns
X
t Xt Xt
156
171
189
207
225
243
260
285
312
341
361
377
[Date] 2
,3
Chapter 01: Overview of Critical Care Nursing
Xt Xt Xt Xt Xt Xt
MULTIPLE CHOICE Xt
1. Which of the following professional organizations best supports critical care nursing practice?
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
a. American Association of Critical-Care Nurses
Xt Xt Xt Xt
b. American Heart Association Xt Xt
c. American Nurses Association Xt Xt
d. Society of Critical Care Med Xt Xt Xt Xt
icineANS: A X
t Xt
The American Association of Critical-
Xt Xt Xt Xt
Care Nurses is the specialty organization that supports and represents critical care nurses. Th
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
e American Heart Association supports cardiovascular initiatives. The American Nurses Associa
Xt Xt Xt Xt Xt Xt Xt Xt Xt X
t
tion supports all nurses. The Society of Critical Care Medicine represents the multiprofessional
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
critical care team under the direction of an intensivist.
Xt Xt Xt Xt Xt Xt Xt Xt
DIF: Cognitive Level: Knowledge REF: p. 4
Xt Xt Xt Xt Xt Xt
OBJ: Discuss the purposes and functions of the professional organizations that support critical c
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
are practice.TOP: Nursing Process Step: N/A
Xt X
t Xt Xt Xt Xt
MSC: NCLEX: Safe and Effective Care Environment
Xt Xt Xt Xt Xt Xt
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
is interested in certification. Which credential would be most applicable for her to seek?
Xt Xt Xt X
t Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
a. ACNPC
b. CCNS
c. CCRN
[Date] 3
, 4
d. PCCN
ANS: C Xt
The CCRN certification is appropriate for nurses in bedside practice who care for critically
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
Xt ill patients. The ACNPC certification is for acute care nurse practitioners. The CCNS certific
Xt Xt X
t Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
ation is for critical care clinical nurse specialists. The PCCN certification is for staff nurses wo
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
rking in progressive care, intermediate care, or step-down unit settings.
Xt Xt Xt Xt Xt Xt X
t Xt Xt
DIF: Cognitive Level: Application REF: p. 5
Xt Xt Xt Xt Xt Xt
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process St
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
ep: N/A MSC: NCLEX: Safe and Effective Care Environment
Xt X
t Xt Xt Xt Xt Xt Xt
3. The main purpose of certification is to:
Xt Xt Xt Xt Xt Xt
a. assure the consumer that you will not make a mistake.
Xt Xt Xt Xt Xt Xt Xt Xt Xt
b. prepare for graduate school. Xt Xt Xt
c. promote magnet status for your facility. Xt Xt Xt Xt Xt
d. validate knowledge of critical care nursing.
Xt Xt Xt Xt Xt
ANS: D Xt
Certification assists in validating knowledge of the field, promotes excellence in the professi
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
on, and helps nurses to maintain their knowledge of critical care nursing. Certification helps to
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
assure the consumer that the nurse has a minimum level of knowledge; however, it does not en
Xt Xt Xt Xt X
t Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
sure that care will be mistake-free.
Xt Xt Xt Xt Xt
Certification does not prepare one for graduate school; however, achieving certification dem
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
onstrates motivation for achievement and professionalism. Magnet facilities are rated on the nu
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
mber of certified nurses; however, that is not the purpose of certification.
Xt Xt Xt X
t Xt Xt Xt Xt Xt Xt Xt
[Date] 4