Questions and Answers |
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What is complex adult health nursing? - ANSWER ✔✔- caring for
clients with acute and unstable conditions
- perform frequent assessments with the ability to recognize trends
- set goals, intervene, and evaluate
- provide psychological support to client and family
- communicate and collaborate with all interdisciplinary team members
What are the aspects of a critical care environment? - ANSWER
✔✔physical environment, noise, and sensory deprivation
,How would you control the physical environment in a critical care
environment? - ANSWER ✔✔reduce clutter & rearrange equipment
out of the patient's sight, encourage family to bring objects from home,
assist client with applying hearing aids/glasses
How would you control the noise in a critical care environment? -
ANSWER ✔✔control alarms (never turn them off, tailor to patient),
quiet time (around afternoon), speak calmly in an audible but quiet voice
How would you prevent sensory deprivation in a critical care
environment? - ANSWER ✔✔provide sensory aids (hearing aids,
glasses, etc.), assess for delirium, natural light, open blinds/allow patient
to see outside, explain procedures in the client's primary language, or
get a translator
What is the order of interventions when responding to alarms? -
ANSWER ✔✔1. Assess the client's LOC
2. Assess the client's respiratory status
3. palpate for a carotid pulse
4. Check the pulse oximetry alarm and address any issues noted
5. Check the telemetry alarm and address any issues noted
6. Assess the client's IV site
, 7. Check the infusion pump alarm and address any issues noted
What is the pharmacological management of pain and anxiety? -
ANSWER ✔✔Pain = opioids
Anxiety = benzodiazepines
What are some commonly used benzodiazepines and their effects? -
ANSWER ✔✔Examples: midazolam, lorazepam
Desired effect: calm the patient
Adverse effect: paradoxical agitation
Side effects: hypotension, respiratory depression
What is the antidote for benzodiazepines? - ANSWER ✔✔flumazenil
What are some commonly used opioids and their effects? - ANSWER
✔✔Examples: fentanyl, morphine sulfate, hydromorphone
Desired effect: reduce pain
Adverse effect: respiratory depression
Side effects: constipation, urinary retention, N/V, pruritus
What is the antidote for opioids? - ANSWER ✔✔naloxone
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