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High-Acuity Nursing 7th Edition
by Kathleen Wagner, Melanie Hardin-Pierce
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High-Acuity Nursing 7th Edition by Kathleen Wagner
Chapter 1. High-Acuity Nursing
Question 1
Type: MCSA
zinul The
meu Stuvia!
patient Aici găsești
who had surgery materiale
yesterday reports detight.
his chest feels studiu create
Assessment cu
reveals
atenție pentru
respiratory rate a face
of 29, procesul
inspiratory wheezes,de învățare
stridor, mai clar
and an oxygenation și mai
saturation of 80%. The
nurse would consider this patient to be which priority for transfer to the intensive care unit
eficient.
(ICU)? Fiecare document este organizat logic pentru a te ajuta
să înțelegi
1. Priorityrapid
1 conceptele importante. Materialele sunt ideale
2. Priority 2
pentru pregătirea examenelor, recapitulare și consolidarea
3. Priority 3
cunoștințelor.
4. Priority 4 Accentul este pus pe calitate și acuratețe, astfel
încât Correct
să poți studia cu încredere. Studenții apreciază explicațiile
Answer: 1
Rationale 1: This patient is exhibiting signs of an acute respiratory event for which intubation or
concise
other și rezumatele
intensive treatment maypractice
be necessary.care
Priorityeconomisesc
1 patients are acutelytimp și reduc
ill and need intensive
stresul. Scopul
treatment meu este
and monitoring să îți
not provided ofer
outside resurse
of the ICU. utile care să îți
Rationale 2: Priority 2 refers to patients needing intensive monitoring and may potentially need
crească încrederea
additional interventions. și
Theyperformanța academică.
are typically not evolving an acute eventDescarcă
as is the case with this
materiale
patient. bine structurate și transformă studiul într-o experiență
Rationale 3: Priority 3 patients are critically ill but have little chance of recovery from their
mai organizată
illnesses. Limits areși placed
productivă.
on therapeutic interventions and they can be cared for in areas other
than the ICU if necessary.
MalayRationale
(±130 words)
4: Priority 4 patients have no signs or symptoms that indicate intensive monitoring or
treatment are necessary.
Global Rationale:
Selamat datang ke kedai Stuvia saya! Di sini anda akan
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
menemui bahan
Client Need pembelajaran
Sub: Management of Care yang disusun dengan teliti untuk
membantu anda Concepts:
Nursing/Integrated belajarNursing
denganProcess:lebih
Planning mudah dan berkesan.
Learning Outcome: 1-1
Setiap dokumen
Question 2 direka secara teratur supaya maklumat penting
senangType:difahami
MCSA dan diingati. Bahan ini sesuai untuk persediaan
The daughter of a patient who is dying questions the placement of her father on the medical
peperiksaan, ulang
surgical care unit kaji,
(MSCU). She dan
requestspengukuhan pengetahuan.
he be placed in the intensive care unit (ICU)Kualiti
because of
dan ketepatan
concern her father sentiasa menjadi
may not receive keutamaan,
close observation memastikan
on a busy hospital anda
unit. Which action is
indicated by the nurse?
boleh1.belajar dengan yakin. Pelajar menghargai ringkasan yang
Notify the intensive care unit of an impending transfer.
jelas 2.dan penerangan
Tell the praktikal
daughter that her father yang
does not meet menjimatkan
criteria for placement in themasa serta
more expensive
mengurangkan
ICU.
tekanan. Matlamat saya adalah untuk
3. Discuss the care that can be provided on the unit with the family member.
menjadikan
4. Contact the pengalaman
physician. belajar anda lebih teratur dan produktif.
MuatCorrect
turunAnswer:
dengan 3 keyakinan dan gunakan sumber ini untuk
meningkatkan prestasi akademik anda secara konsist
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Rationale 1: The nurse cannot make this transfer decision independently.
Rationale 2: Telling the daughter that her father does not meet criteria for transfer is not
therapeutic. Bringing up the issue of cost may cause the daughter to offer to pay the difference
between the costs of the two units. This would create a serious ethical dilemma.
Rationale 3: The best initial response is to help the daughter understand the level of care and
observation that will be provided on the MSCU so as to help her understand that her fathers care
will be a priority.
Rationale 4: The nurse should try to intervene in this situation before involving the physician.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-1
Question 3
Type: MCSA
A nurse who is contemplating taking a position in an intensive care unit is reviewing her
strengths and weaknesses. Which characteristics of the nurse will be of the greatest benefit in the
intensive care environment?
1. Feels comfortable in ever changing situations
2. Closely evaluates the pros and cons of each decision for a long period of time before making a
decision
3. Is quiet and introverted
4. Is excited about all new experiences
Correct Answer: 1
Rationale 1: The nurse in the intensive care unit must be open to ever-changing situations. The
nurse must be flexible.
Rationale 2: The rapid changes in the intensive care unit do not allow for extended time when
considering actions.
Rationale 3: A quiet and introverted nurse may not be a good match for the high paced high-
acuity care unit due to the need for teamwork and interaction.
Rationale 4: Excitement about all experiences is a beneficial characteristic in healthcare but is
not the most important factor for this particular care unit.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1-2
Question 4
Type: MCSA
The registered nurse is working as charge nurse on a busy high-acuity care unit. Unexpectedly, a
coworker becomes ill and needs to leave. There is a period of time in which the unit is short
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staffed while the ill coworkers replacement travels in to work. What action by the charge nurse is
indicated?
1. Make no changes until the replacement nurse arrives.
2. Assign the less acute patients to be cared for by the unlicensed assistive personnel.
3. Assign the unlicensed assistive personnel to watch the monitors and call for help if a patient
gets into trouble.
4. Contact the house supervisor and ask for a float nurse to be sent to the unit.
Correct Answer: 4
Rationale 1: The unit is understaffed. Replacement help must be provided. It is inappropriate to
wait for the replacement nurse.
Rationale 2: The unlicensed assistive personnel are only able to provide care under the direct
supervision of the nurse.
Rationale 3: Watching monitors is not within the job description of the unlicensed assistive
personnel and is not appropriate. The manager would be putting both patient safety and the
unlicensed assistive personnel at risk.
Rationale 4: The manager should obtain help until the replacement nurse arrives. Contacting the
house supervisor and asking for a temporary float nurse is the best intervention.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-2
Question 5
Type: MCSA
A recent nursing school graduate reports having an interview with a magnet hospital. When
preparing for the interview, the graduate nurse researches the concept of magnet status. Which
perceptions by the nurse indicate an adequate understanding?
1. Magnet status is an accreditation from the National League for Nurses.
2. Magnet status facilities pay substantial recruitment bonuses.
3. Magnet status facilities promote the interests of professional nursing.
4. Magnet status hospitals must establish nurse-to-patient ratios.
Correct Answer: 3
Rationale 1: Magnet status is a designation developed by the American Nurses Credentialing
Center.
Rationale 2: Facilities with magnet designation attract nurses because of their work environment.
Often there is no need to pay recruitment bonuses.
Rationale 3: Magnet status is awarded to hospitals that are able to prove their commitment to
professional nursing practices.
Rationale 4: Nurse-to-patient ratios are not part of the magnet hospital designation.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
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