Critical Care Nursing; A Holistic Approach 12 Edition, (2023)
By Patricia Gonce Morton (Author), Paul Thurman (Author)
All Chapters 1-53| 12 Units| Latest Version With Detailed Answers| Grade A+
,PART 1: THE CONCEPT OF HOLISM APPLIED TO CRITICAL CARE NURSING PRACTICE ______ 4
CHAPTER 1: CRITICAL CARE NURSING PRACTICE_______________________________________ 4
CHAPTER 2: THE PATIENT’S AND FAMILY’S EXPERIENCE WITH CRITICAL ILLNESS ____________ 17
CHAPTER 3: PATIENT AND FAMILY EDUCATION IN CRITICAL CARE _______________________ 39
CHAPTER 4: RELIEVING PAIN AND PROVIDING COMFORT ______________________________ 50
CHAPTER 5: PALLIATIVE CARE AND END-OF-LIFE ISSUES IN CRITICAL CARE ________________ 63
CHAPTER 6: ETHICAL AND LEGAL ISSUES IN CRITICAL CARE NURSING ____________________ 72
PART 2: SPECIAL POPULATIONS IN CRITICAL CARE _______________________________ 106
CHAPTER 7: THE PEDIATRIC PATIENT WHO IS CRITICALLY ILL __________________________ 106
CHAPTER 8: THE PREGNANT PATIENT WHO IS CRITICALLY ILL __________________________ 116
CHAPTER 9: THE OLDER ADULT PATIENT WHO IS CRITICALLY ILL _______________________ 128
CHAPTER 10: THE PATIENT RECOVERING FROM ANAESTHESIA _________________________ 134
PART 3 SPECIAL SITUATIONS IN CRITICAL CARE _________________________________ 141
CHAPTER 11: RAPID RESPONSE TEAMS AND TRANSPORT OF THE PATIENT WHO IS CRITICALLY ILL
___________________________________________________________________________ 141
CHAPTER 12: DISASTER MANAGEMENT: IMPLICATIONS FOR THE CRITICAL CARE NURSE ____ 148
PART 4 CARDIOVASCULAR SYSTEM ___________________________________________ 154
CHAPTER 13: ANATOMY AND PHYSIOLOGY OF THE CARDIOVASCULAR SYSTEM ___________ 154
CHAPTER 14: PATIENT ASSESSMENT: CARDIOVASCULAR SYSTEM ______________________ 160
CHAPTER 15: PATIENT MANAGEMENT: CARDIOVASCULAR SYSTEM _____________________ 166
CHAPTER 16: COMMON CARDIOVASCULAR DISORDERS ______________________________ 173
CHAPTER 17: HEART FAILURE ___________________________________________________ 180
CHAPTER 18: ACUTE CORONARY SYNDROME _______________________________________ 187
CHAPTER 19: CARDIAC SURGERY _________________________________________________ 195
PART 5 RESPIRATORY SYSTEM _______________________________________________ 202
CHAPTER 20: ANATOMY AND PHYSIOLOGY OF THE RESPIRATORY SYSTEM _______________ 202
CHAPTER 21: PATIENT ASSESSMENT: RESPIRATORY SYSTEM __________________________ 207
CHAPTER 22: PATIENT MANAGEMENT: RESPIRATORY SYSTEM _________________________ 214
CHAPTER 23: COMMON RESPIRATORY DISORDERS __________________________________ 222
CHAPTER 24: ACUTE RESPIRATORY DISTRESS SYNDROME _____________________________ 229
PART 6 RENAL SYSTEM _____________________________________________________ 236
CHAPTER 25: ANATOMY AND PHYSIOLOGY OF THE RENAL SYSTEM _____________________ 236
CHAPTER 26: PATIENT ASSESSMENT: RENAL SYSTEM ________________________________ 241
CHAPTER 27: PATIENT MANAGEMENT: RENAL SYSTEM _______________________________ 247
CHAPTER 28: ACUTE KIDNEY INJURY AND CHRONIC KIDNEY DISEASE ___________________ 253
PART 7 NERVOUS SYSTEM __________________________________________________ 259
, CHAPTER 29: ANATOMY AND PHYSIOLOGY OF THE NERVOUS SYSTEM __________________ 259
CHAPTER 30: PATIENT ASSESSMENT: NERVOUS SYSTEM ______________________________ 265
CHAPTER 31: PATIENT MANAGEMENT: NERVOUS SYSTEM ____________________________ 272
CHAPTER 32: COMMON NEUROSURGICAL AND NEUROLOGICAL DISORDERS _____________ 279
CHAPTER 33: TRAUMATIC BRAIN INJURY __________________________________________ 285
CHAPTER 34: SPINAL CORD INJURY _______________________________________________ 291
PART 8 GASTROINTESTINAL SYSTEM __________________________________________ 297
CHAPTER 35: ANATOMY AND PHYSIOLOGY OF THE GASTROINTESTINAL SYSTEM __________ 297
CHAPTER 36: PATIENT ASSESSMENT: GASTROINTESTINAL SYSTEM _____________________ 302
CHAPTER 37: PATIENT MANAGEMENT: GASTROINTESTINAL SYSTEM____________________ 308
CHAPTER 38: COMMON GASTROINTESTINAL DISORDERS _____________________________ 314
PART 9 ENDOCRINE SYSTEM ________________________________________________ 321
CHAPTER 39: ANATOMY AND PHYSIOLOGY OF THE ENDOCRINE SYSTEM ________________ 321
CHAPTER 40: PATIENT ASSESSMENT: ENDOCRINE SYSTEM ____________________________ 327
CHAPTER 41: COMMON ENDOCRINE DISORDERS____________________________________ 333
PART 10 HEMATOLOGIC AND IMMUNE SYSTEMS _______________________________ 340
CHAPTER 42: ANATOMY AND PHYSIOLOGY OF THE HEMATOLOGIC AND IMMUNE SYSTEMS 340
CHAPTER 43: PATIENT ASSESSMENT: HEMATOLOGIC AND IMMUNE SYSTEMS ____________ 345
CHAPTER 44: ORGAN AND HEMATOPOIETIC STEM CELL TRANSPLANTATION _____________ 351
CHAPTER 45: COMMON IMMUNOLOGIC DISORDERS ________________________________ 358
CHAPTER 46: COMMON HEMATOLOGIC DISORDERS _________________________________ 365
PART 11 INTEGUMENTARY SYSTEM __________________________________________ 371
CHAPTER 47: ANATOMY AND PHYSIOLOGY OF THE INTEGUMENTARY SYSTEM____________ 371
CHAPTER 48: PATIENT ASSESSMENT: INTEGUMENTARY SYSTEM _______________________ 377
CHAPTER 49: PATIENT MANAGEMENT: INTEGUMENTARY SYSTEM _____________________ 384
CHAPTER 50: BURNS AND COMMON INTEGUMENTARY DISORDERS ____________________ 390
PART 12 MULTISYSTEM DYSFUNCTION ________________________________________ 397
CHAPTER 51: SHOCK, SYSTEMIC INFLAMMATORY RESPONSE SYNDROME, AND MULTIPLE
ORGAN DYSFUNCTION SYNDROME _______________________________________________ 397
CHAPTER 52: TRAUMA _________________________________________________________ 404
CHAPTER 53: DRUG OVERDOSE AND POISONING ___________________________________ 411
,PART 1: THE CONCEPT OF HOLISM APPLIED TO CRITICAL CARE NURSING PRACTICE
CHAPTER 1: CRITICAL CARE NURSING PRACTICE
Patricia Gonce Morton: Critical Care Nursing: A Holistic Approach 12th Edition-North American Edition, (2023)
MULTIPLE CHOICE
1. A Nurse Is The Only One In The ICU Who Has Not Achieved Certification In
Critical Care Nursing. She Often Will Ask Her Fellow Nurses What To Do In Caring
For A Patient Because She Doubts The Accuracy Of Her Knowledge And Her
Intuition. She Loves Her Work But Wishes She Could Do It With A Greater Level Of
Competence. What Is The Most Important Effect That Obtaining Certification Would
Likely Have On The Nurse’s Practice?
A) Recognition By Peers
B) Increase In Salary And Rank
C) More Flexibility In Seeking Employment
D) Increased Confidence In Making Decisions
Ans: D)
Explanation: Obtaining Certification In Critical Care Nursing Can Significantly
Enhance A Nurse's Knowledge Base And Skill Set, Leading To Increased Confidence
In Clinical Decision-Making. Certification Validates The Nurse's Expertise And
Knowledge In The Field, Which Can Alleviate Doubts About Her Abilities. As She
Becomes More Familiar With Evidence-Based Practices And Critical Care Protocols,
Her Confidence In Assessing Situations And Making Decisions Will Improve. While
Recognition By Peers, Salary Increase, And Employment Flexibility Are Important
Benefits Of Certification, The Primary Impact On Her Daily Practice Would Be Her
Newfound Confidence, Enabling Her To Provide Better Care For Her Patients And
Engage More Effectively With Her Team.
2. A Hospital Interviews Two Different Candidates For A Position In The Icu. Both
Candidates Have Around 10 Years Of Experience Working In The Icu. Both Have
,Excellent Interpersonal Skills And Highly Positive References. One, However, Has
Certification In Critical Care Nursing. Which Of The Following Is The Most
Compelling And Accurate Reason For The Hospital To Hire The Candidate With
Certification?
A) The Certified Nurse Will Have More Knowledge And Expertise.
B) The Certified Nurse Will Behave More Ethically.
C) The Certified Nurse Will Be More Caring Toward Patients.
D) The Certified Nurse Will Work More Collaboratively With Other Nurses.
Ans: A)
Explanation: Certification In Critical Care Nursing Demonstrates That The Nurse
Has Undergone Rigorous Training And Assessment, Thereby Validating Her
Advanced Knowledge And Expertise In The Field. This Specialized Knowledge Can
Enhance Patient Outcomes And Ensure The Highest Standards Of Care In The Icu,
Making This The Most Compelling Reason For Hiring.
3. A Nurse Is Caring For An Elderly Man Recently Admitted To The Icu Following A
Stroke. She Assesses His Cognitive Function Using A New Cognitive Assessment
Test She Learned About In A Recent Article In A Nursing Journal. She Then Brings
A Cup Of Water And A Straw To The Patient Because She Observes That His Lips
Are Dry. Later, She Has The Patient Sit In A Wheelchair And Takes Him To Have
Some Blood Tests Performed. He Objects At First, Saying That He Can Walk On His
Own, But The Nurse Explains That It Is Hospital Policy To Use The Wheelchair. That
Evening, She Recognizes Signs Of An Imminent Stroke In The Patient And
Immediately Pages The Physician. Which Action Taken By The Nurse Is The Best
Example Of Evidence-Based Practice?
A) Giving The Patient A Cup Of Water
B) Transferring The Patient In A Wheelchair
C) Using The Cognitive Assessment Test
D) Recognizing Signs Of Imminent Stroke And Paging The Physician
, Ans: C)
Explanation: The Best Example Of Evidence-Based Practice In This Scenario Is The
Use Of The Cognitive Assessment Test. This Action Reflects The Application Of
Current Research To Clinical Practice, Enhancing The Assessment Of The Patient’s
Condition. While Other Actions Are Also Important, Using Evidence-Based Tools
Demonstrates A Commitment To Integrating Research Into Patient Care.
4. A Nurse Is On A Committee That Is Trying To Reduce The Occurrence Of
Hospital-Acquired Infections In The Icu. Her Role Is To Conduct Research To Find
Which Interventions Have Been Shown To Be Most Effective In Reducing These
Infections. She Consults Many Different Sources And Finds Conflicting Information.
Which Of The Following Sources Should She Consider The Most Authoritative?
A) Aacn Expert Panel Report
B) A Meta-Analysis Of Randomized Controlled Trials In The American Journal Of
Nursing
C) A Systematic Review Of Qualitative Studies In The Journal Of Advanced Nursing
D) A Single Randomized Controlled Trial In The American Journal Of Critical Care
Ans: B)
Explanation: A Meta-Analysis Of Randomized Controlled Trials Is Considered One
Of The Highest Levels Of Evidence Because It Synthesizes Data From Multiple
Studies, Providing A Comprehensive Overview Of The Effectiveness Of
Interventions. This Type Of Research Is Generally More Reliable Than Individual
Studies Or Qualitative Reviews, Making It The Most Authoritative Source In This
Context.
5. A Nurse Who Has Been Recently Hired To Manage The Nursing Staff Of The Icu
Is Concerned At The Lack Of Evidence-Based Practice She Sees Among The Staff.
Which Of The Following Would Be The Best Step For Her To Take To Promote
Incorporating Evidence Into Clinical Practice?