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,TABLE OF CONTENTS
Solutions Manual: Priorities in Critical Care Nursing, 9th Edition
Authors: Linda Urden, Kathleen Stacy, Mary Lough
UNIT ONE: FOUNDATIONS IN CRITICAL CARE NURSING
Chapter 1. Caring for the Critically Ill Patient
Chapter 2. Ethical and Legal Issues
Chapter 3. Facilitating Care Transitions
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UNIT TWO: COMMON PROBLEMS IN CRITICAL CARE
Chapter 4. Psychosocial and Spiritual Considerations
Chapter 5. Nutritional Alterations and Management
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Chapter 6. The Older Adult
Chapter 7. Pain and Pain Management
Chapter 8. Sedation and Delirium Management
Chapter 9. Palliative and End-of-Life Care
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UNIT THREE: CARDIOVASCULAR ALTERATIONS
Chapter 10. Cardiovascular Clinical Assessment and Diagnostic Procedures
Chapter 11. Cardiovascular Disorders
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Chapter 12. Cardiovascular Therapeutic Management
UNIT FOUR: PULMONARY ALTERATIONS
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Chapter 13. Pulmonary Clinical Assessment and Diagnostic Procedures
Chapter 14. Pulmonary Disorders
Chapter 15. Pulmonary Therapeutic Management
UNIT FIVE: NEUROLOGICAL ALTERATIONS
Chapter 16. Neurological Clinical Assessment and Diagnostic Procedures
Chapter 17. Neurologic Disorders and Therapeutic Management
UNIT SIX: KIDNEY ALTERATIONS
Chapter 18. Kidney Clinical Assessment and Diagnostic Procedures
Chapter 19. Kidney Disorders and Therapeutic Management
,UNIT SEVEN: GASTROINTESTINAL ALTERATIONS
Chapter 20. Gastrointestinal Clinical Assessment and Diagnostic Procedures
Chapter 21. Gastrointestinal Disorders and Therapeutic Management
UNIT EIGHT: ENDOCRINE ALTERATIONS
Chapter 22. Endocrine Clinical Assessment and Diagnostic Procedures
Chapter 23. Endocrine Disorders and Therapeutic Management
UNIT NINE: MULTISYSTEM ALTERATIONS
Chapter 24. Trauma
Chapter 25. Burns
Chapter 26. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
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Chapter 27. Hematological and Oncological Emergencies
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, Urden: Priorities in Critical Care Nursing, 9th Edition
Case Study 1
Answer(s): In order to meet established standards of care and legally competent nursing care,
the nurse would first initiate call to surgeon in order to share concerns regarding possible
delirium.
Rationales: The nurse has obligations to meet both the standards of nursing and legal standards.
In this case the client has been demonstrating signs of delirium that can be a result of the low
sodium confirmed by the electrolyte assessment results. A normal blood sodium level is between
135 and 145 milliequivalents per liter (mEq/L). Hyponatremia occurs when the sodium in your
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blood falls below 135 mEq/L. The client’s surgeon needs to be immediately notified of the
assessment data that suggests delirium so that it can be corrected before it becomes a chronic
health issue. While reassessing vital signs is appropriate as this nurse assumes care of the client
to assure continued awareness of the client’s health status, it doesn’t have the priority that
treating possible delirium has regarding the care of the client. While it is possible that after
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discussing the client focused concerns, the surgeon may order a reassessment of the client’s
electrolytes to determine the current status of the client’s sodium level but again this doesn’t
have the priority that treating possible delirium has regarding the care of the client. Correcting
the sodium deficient would be an intervention in addressing the possibility of a possibly
diagnosis of delirium.
IA
Cognitive Skill: Take Action
Reference: Urden, L.D., Stacy, K.M., Lough, M.E. (2024). Chapter 2: Legal Issues, Priorities in
Critical Care Nursing, 9e. St. Louis: Elsevier.
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IA
UV
ST
,TABLE OF CONTENTS
Solutions Manual: Priorities in Critical Care Nursing, 9th Edition
Authors: Linda Urden, Kathleen Stacy, Mary Lough
UNIT ONE: FOUNDATIONS IN CRITICAL CARE NURSING
Chapter 1. Caring for the Critically Ill Patient
Chapter 2. Ethical and Legal Issues
Chapter 3. Facilitating Care Transitions
ST
UNIT TWO: COMMON PROBLEMS IN CRITICAL CARE
Chapter 4. Psychosocial and Spiritual Considerations
Chapter 5. Nutritional Alterations and Management
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Chapter 6. The Older Adult
Chapter 7. Pain and Pain Management
Chapter 8. Sedation and Delirium Management
Chapter 9. Palliative and End-of-Life Care
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UNIT THREE: CARDIOVASCULAR ALTERATIONS
Chapter 10. Cardiovascular Clinical Assessment and Diagnostic Procedures
Chapter 11. Cardiovascular Disorders
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Chapter 12. Cardiovascular Therapeutic Management
UNIT FOUR: PULMONARY ALTERATIONS
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Chapter 13. Pulmonary Clinical Assessment and Diagnostic Procedures
Chapter 14. Pulmonary Disorders
Chapter 15. Pulmonary Therapeutic Management
UNIT FIVE: NEUROLOGICAL ALTERATIONS
Chapter 16. Neurological Clinical Assessment and Diagnostic Procedures
Chapter 17. Neurologic Disorders and Therapeutic Management
UNIT SIX: KIDNEY ALTERATIONS
Chapter 18. Kidney Clinical Assessment and Diagnostic Procedures
Chapter 19. Kidney Disorders and Therapeutic Management
,UNIT SEVEN: GASTROINTESTINAL ALTERATIONS
Chapter 20. Gastrointestinal Clinical Assessment and Diagnostic Procedures
Chapter 21. Gastrointestinal Disorders and Therapeutic Management
UNIT EIGHT: ENDOCRINE ALTERATIONS
Chapter 22. Endocrine Clinical Assessment and Diagnostic Procedures
Chapter 23. Endocrine Disorders and Therapeutic Management
UNIT NINE: MULTISYSTEM ALTERATIONS
Chapter 24. Trauma
Chapter 25. Burns
Chapter 26. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
ST
Chapter 27. Hematological and Oncological Emergencies
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IA
??
?
, Urden: Priorities in Critical Care Nursing, 9th Edition
Case Study 1
Answer(s): In order to meet established standards of care and legally competent nursing care,
the nurse would first initiate call to surgeon in order to share concerns regarding possible
delirium.
Rationales: The nurse has obligations to meet both the standards of nursing and legal standards.
In this case the client has been demonstrating signs of delirium that can be a result of the low
sodium confirmed by the electrolyte assessment results. A normal blood sodium level is between
135 and 145 milliequivalents per liter (mEq/L). Hyponatremia occurs when the sodium in your
ST
blood falls below 135 mEq/L. The client’s surgeon needs to be immediately notified of the
assessment data that suggests delirium so that it can be corrected before it becomes a chronic
health issue. While reassessing vital signs is appropriate as this nurse assumes care of the client
to assure continued awareness of the client’s health status, it doesn’t have the priority that
treating possible delirium has regarding the care of the client. While it is possible that after
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discussing the client focused concerns, the surgeon may order a reassessment of the client’s
electrolytes to determine the current status of the client’s sodium level but again this doesn’t
have the priority that treating possible delirium has regarding the care of the client. Correcting
the sodium deficient would be an intervention in addressing the possibility of a possibly
diagnosis of delirium.
IA
Cognitive Skill: Take Action
Reference: Urden, L.D., Stacy, K.M., Lough, M.E. (2024). Chapter 2: Legal Issues, Priorities in
Critical Care Nursing, 9e. St. Louis: Elsevier.
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