The most important outcome of effective communication is to: - ANSWER reduce patient
error
As part of nursing management of critically ill patient, orders are written to keep the head of
the bed elevated at 30 degrees, awaken the patient from sedation each morning to assess
readiness to wean from mech vent, and implement oral care protocol every 4 hours. These
intervention are done as a group to reduce the risk of vent-associated pneumonia. This
group of evidence-based interventions is often called: - ANSWER bundle of care
Working in an intermediate care unit that has experienced high nursing turn over. The nurse
manager is often considered to be an autocratic leader by staff members and her leadership
style is contributing to turnover. You have asked to involve in developing new guidelines to
prevent pressure ulcers in your patient population. The nurse manager tells you that you do
not yet have enough experience to be on the prevention task force. This situation and set-
ting is an example of: - ANSWER work environment that is unhealthy
Which nursing interven would best support the family of a critically ill patient? - ANSWER
give condition update each morning and whenever changes occur
Which intervention is appropriate to assist the patient to cope with admission to the critical
care unit - ANSWER explaining all procedures in easy-to-understand terms
Which of the following statement about family assessment is false? - ANSWER assess-
ment of structure (who comprises the family) is the last step in assessment
Many critically ill patients experience anxiety. The nurse can reduce anxiety with which ap-
proach? - ANSWER state, "mr J, it's time to turn you. I'm going to ask another nurse to
1
, come in and help me. We will turn you to your left. During the turn, I'm going to inspect the
skin on your back and rub some lotion on your back. This should help you feel better."
Which of the following statement about resuscitation is true? - ANSWER withholding
"extraordinary" resuscitation is legal and ethical if specified in advance directives and physi-
cian orders.
65 YO pt c history of metastatic lung carcinoma has been unresponsive to chemo. The medi-
cal team has determined that there are no additional tx available that will prolong life or im-
prove the quality of life in any meaningful way. Despite the poor prognosis, the pt continues
to rc'd chemo and full nutrition support. What is this example of end of life concept? - AN-
SWER medical futility
Pt c end stage HF is experiencing considerable dyspnea. Which med is appropriate? - AN-
SWER morphing, 5 mg IV, and initiate continuous morphine infusion
Neuromuscular blocking agents are used in the management of some vent patient; their pri-
mary mdoe of action is - ANSWER paralysis
Patient on vent, using critical care pain observation tool; which of the following assessment
would indicate the greatest likelihood of pain and need for nursing intervent? - ANSWER
fighting the vent
Best way to administer benzo intermittently is? - ANSWER titrate to a predefined end-
point using a standard sedation scale
Pt remains npo from abdominal surgery complication; ET tube feeding not possible; there-
fore need parenteral feeding. Major complication for this therapy? - ANSWER fluid and
electrolyte imblances and sepsis
2
error
As part of nursing management of critically ill patient, orders are written to keep the head of
the bed elevated at 30 degrees, awaken the patient from sedation each morning to assess
readiness to wean from mech vent, and implement oral care protocol every 4 hours. These
intervention are done as a group to reduce the risk of vent-associated pneumonia. This
group of evidence-based interventions is often called: - ANSWER bundle of care
Working in an intermediate care unit that has experienced high nursing turn over. The nurse
manager is often considered to be an autocratic leader by staff members and her leadership
style is contributing to turnover. You have asked to involve in developing new guidelines to
prevent pressure ulcers in your patient population. The nurse manager tells you that you do
not yet have enough experience to be on the prevention task force. This situation and set-
ting is an example of: - ANSWER work environment that is unhealthy
Which nursing interven would best support the family of a critically ill patient? - ANSWER
give condition update each morning and whenever changes occur
Which intervention is appropriate to assist the patient to cope with admission to the critical
care unit - ANSWER explaining all procedures in easy-to-understand terms
Which of the following statement about family assessment is false? - ANSWER assess-
ment of structure (who comprises the family) is the last step in assessment
Many critically ill patients experience anxiety. The nurse can reduce anxiety with which ap-
proach? - ANSWER state, "mr J, it's time to turn you. I'm going to ask another nurse to
1
, come in and help me. We will turn you to your left. During the turn, I'm going to inspect the
skin on your back and rub some lotion on your back. This should help you feel better."
Which of the following statement about resuscitation is true? - ANSWER withholding
"extraordinary" resuscitation is legal and ethical if specified in advance directives and physi-
cian orders.
65 YO pt c history of metastatic lung carcinoma has been unresponsive to chemo. The medi-
cal team has determined that there are no additional tx available that will prolong life or im-
prove the quality of life in any meaningful way. Despite the poor prognosis, the pt continues
to rc'd chemo and full nutrition support. What is this example of end of life concept? - AN-
SWER medical futility
Pt c end stage HF is experiencing considerable dyspnea. Which med is appropriate? - AN-
SWER morphing, 5 mg IV, and initiate continuous morphine infusion
Neuromuscular blocking agents are used in the management of some vent patient; their pri-
mary mdoe of action is - ANSWER paralysis
Patient on vent, using critical care pain observation tool; which of the following assessment
would indicate the greatest likelihood of pain and need for nursing intervent? - ANSWER
fighting the vent
Best way to administer benzo intermittently is? - ANSWER titrate to a predefined end-
point using a standard sedation scale
Pt remains npo from abdominal surgery complication; ET tube feeding not possible; there-
fore need parenteral feeding. Major complication for this therapy? - ANSWER fluid and
electrolyte imblances and sepsis
2
