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CARE NURSING 3RD EDITION BY KATHLEEN PERRIN,
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CARRIE MACLEOD Il` Il`
TABLE OF CONTENT Il` Il`
1. What is Critical Care?
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2. Care of the Critical Ill Patient
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3. Care of the Patient with Respiratory Failure
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4. Interpretation and Management of Basic Dysrhythmias
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5. Cardiodynamics and Hemodynamic Regulation Il` Il` Il`
6. Care of the Patient Experiencing Shock
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7. Care of the Patient Experiencing Heart Failure
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8. Care of the Patient Experiencing Acute Coronary Syndrome
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9. Care of the Patient Following Traumatic Injury
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10. Care of the Patient Experiencing an Intracranial Dysfunction
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11. Care of the Patient With a Cerebral or Cerbrovascular Disorder
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12. Care of the Critically Ill Patient Experiencing Alcohol Withdrawal and/or Liver Failure
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13. Care of the Patient With an Acute Gastrointestinal Bleed or Pancreatitis
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14. Care of the Patient with Problems in Glucose Metabolism
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15. Care of the Patient with Acute Kidney Injury
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16. Care of the Organ Donor and Transplant Recipient
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17. Care of the Acutely Ill Burn Patient
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18. Care of the Patient with Sepsis
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19. Care of the ICU Patient at the End of Life
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, Perrin: Understanding the Essentials of Critical Care Il` Il` Il` Il` Il` Il`
1: What is Critical Care? Il` Il` Il` Il` Il`
MULTIPLE CHOICE.I l ` I l ` I l ` Choose the one alternative that best completes the staI l ` I l ` I l ` I l ` I l ` I l ` I l ` I l `
ques
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1) Of the following patients, who should be cared for in a critical care unit? A patie
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apply.)
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A) With an acetaminophen overdose
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B) Suffering from acute mental illness Il` Il` Il` Il`
C) With chronic renal failure
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D) With acute decompensated heart failure
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ANSWER: A, D Il` I l `
Explanation: A) (Note: This requires multiple responses to be correct.)
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Critical care units are c o- e
s tfficient units for caring for patients wi I`
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system failure. Although the organ failing in #4 is obvious, pa Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
overdose often suffer liver failure as a consequence. #2 and #
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of a noncritical nature. Il` Il` Il` Il`
Nursing Process: Evaluation Il` Il`
Cognitive Level: Analysis Il` Il` Il`
Category of Need: Physiological Integrity–Physiological Adapta Il` Il` Il` Il` Il`
,B) (Note: This requires multiple responses to be correct.)
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Critical care units are c o- e
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system failure. Although the organ failing in #4 is obvious, pa
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overdose often suffer liver failure as a consequence. #2 and #
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of a noncritical nature.
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Nursing Process: Evaluation Il` Il`
Cognitive Level: Analysis
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Category of Need: Physiological Integrity–Physiological Adapta
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C) (Note: This requires multiple responses to be correct.)
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Critical care units are c o- e
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l s tfficient units for caring for patients wi
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system failure. Although the organ failing in #4 is obvious, pa
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overdose often suffer liver failure as a consequence. #2 and #
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of a noncritical nature.
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Nursing Process: Evaluation Il` Il`
Cognitive Level: Analysis
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Category of Need: Physiological Integrity–Physiological Adapta
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D) (Note: This requires multiple responses to be correct.)
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Critical care units are c o- e
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l s tfficient units for caring for patients wi
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system failure. Although the organ failing in #4 is obvious, pa
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overdose often suffer liver failure as a consequence. #2 and #
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of a noncritical nature.
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Nursing Process: Evaluation Il` Il`
Cognitive Level: Analysis
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Category of Need: Physiological Integrity–Physiological Adapta
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, 2) A hospital in a small rural town would be able to provide which level of care in t
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A) Level I I l `
B) Level II I l `
C) Level III I l `
D) It is unlikely that the hospital would have a critical care unit
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ANSWER: C Il`
Explanation: I A) #1 and #2 describe more advanced and inclusive critical car
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a all because most hospitals have some critical care areas.
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Nursing Process: Evaluation Il` Il`
Cognitive Level: Application
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Category of Need: Safe, Effective Care Environment–Manageme I`
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B) #1 and #2 describe more advanced and inclusive critical care
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all because most hospitals have some critical care areas.
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Nursing Process: Evaluation Il` Il`
Cognitive Level: Application
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Category of Need: Safe, Effective Care Environment–Manageme I`
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C) #1 and #2 describe more advanced and inclusive critical care
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all because most hospitals have some critical care areas.
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Nursing Process: Evaluation Il` Il`
Cognitive Level: Application
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Category of Need: Safe, Effective Care Environment–Manageme I`
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D) #1 and #2 describe more advanced and inclusive critical care
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all because most hospitals have some critical care areas.
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Nursing Process: Evaluation Il` Il`
Cognitive Level: Application
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Category of Need: Safe, Effective Care Environment–Manageme I`
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3) A nurse employed in an "open" ICU would most likely be working with a:
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A) Multidisciplinary team with physicians who are also responsible for patients o Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
B) Multidisciplinary team that includes a physician employed by the hospital. I`
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C) Physician in charge of patient care who is a specialist in critical care.
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D) Primary care physician who must consult a critical care specialist.
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ANSWER: A Il`
Explanation: I l ` A) #2, #3, and #4 refer to "closed" ICUs.
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Nursing Process: Evaluation Il` Il`
Cognitive Level: Analysis
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Category of Need: Safe, Effective Care Environment–Manageme I`
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B) #2, #3, and #4 refer to "closed" ICUs. Il` Il` Il` Il` Il` Il` Il`
Nursing Process: Evaluation
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Cognitive Level: Analysis Il` Il`
Category of Need: Safe, Effective Care Environment–Manageme I`
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C) #2, #3, and #4 refer to "closed" ICUs. Il` Il` Il` Il` Il` Il` Il`
Nursing Process: Evaluation
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Category of Need: Safe, Effective Care Environment–Manageme I`
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D) #2, #3, and #4 refer to "closed" ICUs. Il` Il` Il` Il` Il` Il` Il`