,Table of Contents
UNIT 1: FOUDATIONS OF CRITICALCARENURSING
Chapter 01: Critical Care Nursing Practice ....................................................................................................................................3
Chapter 02: Ethical Issues .......................................................................................................................................................... 12
Chapter 03: Legal Issues............................................................................................................................................................. 20
Chapter 04: Genetic Issues ........................................................................................................................................................ 29
Chapter 05: Patient and Family Education ................................................................................................................................ 37
Chapter 06: Psychosocial and Spiritual Alterations and Management...................................................................................... 47
Chapter 07: Nutrition Alterations and Management ................................................................................................................ 57
Chapter 08: Pain and Pain Management ................................................................................................................................... 69
Chapter 09: Sedation, Agitation and Delirium Management .................................................................................................... 74
Chapter 10: End-of-Life Care...................................................................................................................................................... 80
UNIT 2: CARDIOVASCULAR ALTERATIONS
Chapter 11: Cardiovascular Anatomy and Physiology ............................................................................................................... 88
NURSINGTB.COM ....................................................................................................................................................................... 96
Chapter 12: Cardiovascular Clinical Assessment ....................................................................................................................... 97
Chapter 13: Cardiovascular Diagnostic Procedures ................................................................................................................. 107
Chapter 14: Cardiovascular Disorders ..................................................................................................................................... 139
Chapter 15: Cardiovascular Therapeutic Management ........................................................................................................... 153
UNIT 3: PULMONARY ALTERATIONS
Chapter 16: Pulmonary Anatomy and Physiology ................................................................................................................... 169
Chapter 17: Pulmonary Clinical Assessment ............................................................................................................................ 181
Chapter 18: Pulmonary Diagnostic Procedures ....................................................................................................................... 190
Chapter 19: Pulmonary Disorders ............................................................................................................................................ 201
Chapter 20: Pulmonary Therapeutic Management ................................................................................................................. 211
NIT 4: NEUROLOGIC ALTERATIONSU
Chapter 21: Neurologic Anatomy and Physiology ................................................................................................................... 222
Chapter 22: Neurologic Clinical Assessment and Diagnostic Procedures ....................... 233
Chapter 23: Neurologic Disorders and Therapeutic Management ..............................................
UNIT 5: KIDNEY ALTERATIONS
Chapter 24: Kidney Anatomy and Physiology ............................................................................................................................
Chapter 25: Kidney Clinical Assessment and Diagnostic Procedures ........................................................................................
Chapter 26: Kidney Disorders and Therapeutic Management ..................................................................................................
UNIT 6: GASTROINTESTINAL ALTERATIONS
Chapter 27: Gastrointestinal Anatomy and Physiology .............................................................................................................
Chapter 28: Gastrointestinal Clinical Assessment and Diagnostic Procedures Urden: .............................................................
, Chapter 29: Gastrointestinal Disorders and Therapeutic Management Urden: Critical Care
Nursing, 9th Edition ...........................................................................................................................................................
UNIT 7: ENDOCRINE ALTERATIONS
Chapter 30: Endocrine Anatomy and Physiology.......................................................................................................................
Chapter 31: Endocrine Clinical Assessment and Diagnostic Procedures .................................................................................
Chapter 32: Endocrine Disorders and Therapeutic Management ...........................................................................................
UNIT 8: MULTISYSTEM ALTERATIONS
Chapter 33: Trauma .................................................................................................................................................................
Chapter 34: Shock, Sepsis, and Multiple-Organ Dysfunction Syndrome .................................................................................
Chapter 35: Burns ....................................................................................................................................................................
Chapter 36: Organ Donation and Transplantation Urden: Critical Care Nursing, 9th Edition ..........
Chapter 37: Hematologic and Oncologic Emergencies Urden: Critical Care Nursing, 9th Edition .....
UNIT 9: SPECIAL POPULATIONS
Chapter 38: The Obstetric Patient .............................................................................................................................................
Chapter 39: The Pediatric Patient ..............................................................................................................................................
Chapter 40: The Older Adult Patient..........................................................................................................................................
Chapter 41: The Perianesthesia Patient ....................................................................................................................................
Chapter 01: Critical Care Nursing Practice
Urden: Critical Care Nursing, 9th Edition
MULTIPLE CHOICE
1. Designing therapeutic activities that move a patient from one state of health to another is an
example of which of the following? a. Nursing diagnosis
b. Nursing interventions
c. Nursing outcomes
d. Nursing process
ANS: B
Nursing interventions constitute the treatment approach to an identified health alteration. An
essential and distinguishing feature of any nursing diagnosis is that it describes a health
condition. Evaluation of attainment of the expected patient outcomes occurs formally at
intervals designated in the outcome criteria. The nursing process is a systematic decision-
making model that is cyclic, not linear.
PTS: 1 DIF: Cognitive Level: Remembering REF: n/a
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment
, 2. A patient was admitted to a rural critical care unit in Montana. Critical care nurses are
assisting with monitoring and care of the patient from the closest major city. What is this type
of practice termed? a. Tele-nursing
b. Tele-ICU
c. Tele-informatics
d. Tele-hospital
ANS: B
Tele-ICU is a form of telemedicine. Telemedicine was initially used in outpatient areas,
remote rural geographic locations, and areas where there was a dearth of medical providers.
Currently, there are tele-ICUs in areas where there are limited resources onsite. However,
experts (critical care nurses, intensivists) are located in a central distant site.
PTS: 1 DIF: Cognitive Level: Understanding REF: p. 5
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment
3. Which core competency for interprofessional practice can be described as working with
individuals of other professions to maintain a climate of mutual respect and shared values? a.
Interprofessional teamwork and team-based care
b. Values and ethics for interprofessional practice
c. Interprofessional communication
d. Roles and responsibilities for collaborative practice
ANS: B
Values and ethics for interprofessional practice mean working with individuals of other
professions to maintain a climate of mutual respect and shared values. Roles and
responsibilities for collaborative practice include using knowledge of one’s own role and the
roles of other professions to appropriately assess and address the health care needs of the
patients and populations served. Interprofessional communication includes communicating
with patients, families, communities, and other health professionals in a responsive and
responsible manner that supports a team approach to maintaining health and treatment of
disease. Interprofessional teamwork and team-based care means applying relationship-
building values and principles of team dynamics to perform effectively in different team roles
to plan and deliver patient population-centered care that is safe, timely, efficient, effective,
and equitable.
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 5|Box 1-5
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
4. Emphasis is on human integrity and stresses the theory that the body, mind, and spirit are
interdependent and inseparable. This statement describes which methodology of care? a. Holistic
care
UNIT 1: FOUDATIONS OF CRITICALCARENURSING
Chapter 01: Critical Care Nursing Practice ....................................................................................................................................3
Chapter 02: Ethical Issues .......................................................................................................................................................... 12
Chapter 03: Legal Issues............................................................................................................................................................. 20
Chapter 04: Genetic Issues ........................................................................................................................................................ 29
Chapter 05: Patient and Family Education ................................................................................................................................ 37
Chapter 06: Psychosocial and Spiritual Alterations and Management...................................................................................... 47
Chapter 07: Nutrition Alterations and Management ................................................................................................................ 57
Chapter 08: Pain and Pain Management ................................................................................................................................... 69
Chapter 09: Sedation, Agitation and Delirium Management .................................................................................................... 74
Chapter 10: End-of-Life Care...................................................................................................................................................... 80
UNIT 2: CARDIOVASCULAR ALTERATIONS
Chapter 11: Cardiovascular Anatomy and Physiology ............................................................................................................... 88
NURSINGTB.COM ....................................................................................................................................................................... 96
Chapter 12: Cardiovascular Clinical Assessment ....................................................................................................................... 97
Chapter 13: Cardiovascular Diagnostic Procedures ................................................................................................................. 107
Chapter 14: Cardiovascular Disorders ..................................................................................................................................... 139
Chapter 15: Cardiovascular Therapeutic Management ........................................................................................................... 153
UNIT 3: PULMONARY ALTERATIONS
Chapter 16: Pulmonary Anatomy and Physiology ................................................................................................................... 169
Chapter 17: Pulmonary Clinical Assessment ............................................................................................................................ 181
Chapter 18: Pulmonary Diagnostic Procedures ....................................................................................................................... 190
Chapter 19: Pulmonary Disorders ............................................................................................................................................ 201
Chapter 20: Pulmonary Therapeutic Management ................................................................................................................. 211
NIT 4: NEUROLOGIC ALTERATIONSU
Chapter 21: Neurologic Anatomy and Physiology ................................................................................................................... 222
Chapter 22: Neurologic Clinical Assessment and Diagnostic Procedures ....................... 233
Chapter 23: Neurologic Disorders and Therapeutic Management ..............................................
UNIT 5: KIDNEY ALTERATIONS
Chapter 24: Kidney Anatomy and Physiology ............................................................................................................................
Chapter 25: Kidney Clinical Assessment and Diagnostic Procedures ........................................................................................
Chapter 26: Kidney Disorders and Therapeutic Management ..................................................................................................
UNIT 6: GASTROINTESTINAL ALTERATIONS
Chapter 27: Gastrointestinal Anatomy and Physiology .............................................................................................................
Chapter 28: Gastrointestinal Clinical Assessment and Diagnostic Procedures Urden: .............................................................
, Chapter 29: Gastrointestinal Disorders and Therapeutic Management Urden: Critical Care
Nursing, 9th Edition ...........................................................................................................................................................
UNIT 7: ENDOCRINE ALTERATIONS
Chapter 30: Endocrine Anatomy and Physiology.......................................................................................................................
Chapter 31: Endocrine Clinical Assessment and Diagnostic Procedures .................................................................................
Chapter 32: Endocrine Disorders and Therapeutic Management ...........................................................................................
UNIT 8: MULTISYSTEM ALTERATIONS
Chapter 33: Trauma .................................................................................................................................................................
Chapter 34: Shock, Sepsis, and Multiple-Organ Dysfunction Syndrome .................................................................................
Chapter 35: Burns ....................................................................................................................................................................
Chapter 36: Organ Donation and Transplantation Urden: Critical Care Nursing, 9th Edition ..........
Chapter 37: Hematologic and Oncologic Emergencies Urden: Critical Care Nursing, 9th Edition .....
UNIT 9: SPECIAL POPULATIONS
Chapter 38: The Obstetric Patient .............................................................................................................................................
Chapter 39: The Pediatric Patient ..............................................................................................................................................
Chapter 40: The Older Adult Patient..........................................................................................................................................
Chapter 41: The Perianesthesia Patient ....................................................................................................................................
Chapter 01: Critical Care Nursing Practice
Urden: Critical Care Nursing, 9th Edition
MULTIPLE CHOICE
1. Designing therapeutic activities that move a patient from one state of health to another is an
example of which of the following? a. Nursing diagnosis
b. Nursing interventions
c. Nursing outcomes
d. Nursing process
ANS: B
Nursing interventions constitute the treatment approach to an identified health alteration. An
essential and distinguishing feature of any nursing diagnosis is that it describes a health
condition. Evaluation of attainment of the expected patient outcomes occurs formally at
intervals designated in the outcome criteria. The nursing process is a systematic decision-
making model that is cyclic, not linear.
PTS: 1 DIF: Cognitive Level: Remembering REF: n/a
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment
, 2. A patient was admitted to a rural critical care unit in Montana. Critical care nurses are
assisting with monitoring and care of the patient from the closest major city. What is this type
of practice termed? a. Tele-nursing
b. Tele-ICU
c. Tele-informatics
d. Tele-hospital
ANS: B
Tele-ICU is a form of telemedicine. Telemedicine was initially used in outpatient areas,
remote rural geographic locations, and areas where there was a dearth of medical providers.
Currently, there are tele-ICUs in areas where there are limited resources onsite. However,
experts (critical care nurses, intensivists) are located in a central distant site.
PTS: 1 DIF: Cognitive Level: Understanding REF: p. 5
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment
3. Which core competency for interprofessional practice can be described as working with
individuals of other professions to maintain a climate of mutual respect and shared values? a.
Interprofessional teamwork and team-based care
b. Values and ethics for interprofessional practice
c. Interprofessional communication
d. Roles and responsibilities for collaborative practice
ANS: B
Values and ethics for interprofessional practice mean working with individuals of other
professions to maintain a climate of mutual respect and shared values. Roles and
responsibilities for collaborative practice include using knowledge of one’s own role and the
roles of other professions to appropriately assess and address the health care needs of the
patients and populations served. Interprofessional communication includes communicating
with patients, families, communities, and other health professionals in a responsive and
responsible manner that supports a team approach to maintaining health and treatment of
disease. Interprofessional teamwork and team-based care means applying relationship-
building values and principles of team dynamics to perform effectively in different team roles
to plan and deliver patient population-centered care that is safe, timely, efficient, effective,
and equitable.
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 5|Box 1-5
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
4. Emphasis is on human integrity and stresses the theory that the body, mind, and spirit are
interdependent and inseparable. This statement describes which methodology of care? a. Holistic
care
