b b b b b h b on
D.
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,TABLEOFCONTENTS v v
UNIT ONE: FOUNDATIONS IN CRITICAL CARE NURSING
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1. Caring for the Critically Ill Patient
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2. Ethical and Legal Issues
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3. Facilitating Care Transitions v v
UNIT TWO: COMMON PROBLEMS IN CRITICAL CARE
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4. Psychosocial and Spiritual Considerations v v v
5. Nutritional Alterations and Management
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6. The Older Adult
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7. Pain and Pain Management
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8. Sedation and Delirium Management
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9. Palliative and End-of-Life Care
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UNIT THREE: CARDIOVASCULAR ALTERATIONS
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10. Cardiovascular Clinical Assessment and Diagnostic Procedures v v v v v
11. Cardiovascular Disorders v
12. Cardiovascular Therapeutic Management v v
UNIT FOUR: PULMONARY ALTERATIONS
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13. Pulmonary Clinical Assessment and Diagnostic Procedures
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14. Pulmonary Disorders v
15. Pulmonary Therapeutic Management v v
UNIT FIVE: NEUROLOGICAL ALTERATIONS
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16. Neurological Clinical Assessment and Diagnostic Procedures
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17. Neurologic Disorders and Therapeutic Management
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UNIT SIX: KIDNEY ALTERATIONS
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18. Kidney Clinical Assessment and Diagnostic Procedures
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19. Kidney Disorders and Therapeutic Management
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UNIT SEVEN: GASTROINTESTINAL ALTERATIONS
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20. Gastrointestinal Clinical Assessment and Diagnostic Procedures v v v v v
21. Gastrointestinal Disorders and Therapeutic Management v v v v
UNIT EIGHT: ENDOCRINE ALTERATIONS
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22. Endocrine Clinical Assessment and Diagnostic Procedures
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23. Endocrine Disorders and Therapeutic Management
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UNIT NINE: MULTISYSTEM ALTERATIONS
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24. Trauma
25. Burns
26. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
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27. Hematological and Oncological Emergencies v v v
,Chapter 01: Critical Care Nursing
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PracticeUrden: Critical Care Nursing, 9th
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MULTIPLE
CHOICE
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1. During World War II, what type of wards were developed to care for
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criticallyinjured patients?
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a. Intensive care v
b. Triage
c. Shock
d. Postoperative
ANS: C v
During World War II, shock wards were established to care for critically injured patients.
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Triage wards establish the order in which a patient is seen or treated upon arrival to a
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hospital. Postoperative wards were developed in 1900 and later evolved into intensive
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care units.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 1 v v v v
vOBJ: Nursing Process Step: N/A TOP: Critical Care Nursing v v v v v v
vPractice MSC: NCLEX: Safe and Effective Care Environment
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2. What type of practitioner has a broad depth of specialty knowledge and expertise
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v andmanages complex clinical and system issues? v v v v v
a. Registered nurses v
b. Advanced practice nurses v v
c. Clinical nurse leaders v v
d. Intensivists
ANS: B v
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in
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theirspecialty area and manage complex clinical and systems issues. Intensivists are medical
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practitioners who manage the critical ill patient. Registered nurses (RNs) are generally direct
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care providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 2 v v v v
vOBJ: Nursing Process Step: N/A TOP: Critical Care Nursing v v v v v v
vPractice MSC: NCLEX: Safe and Effective Care Environment
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3. What type of practitioner is instrumental in ensuring care that is evidence based
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andthat safety programs are in place?
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a. Clinical nurse v
specialist b.
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Advancedpractic
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e nurse c.
v v
Registered nurses v
d. Nurse practitioners
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ANS: A v
, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching,
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research, leadership, and consultative abilities. They are instrumental in ensuring that careis
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evidence based and that safety programs are in place. Advanced practice nurses (APNs)have a
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broad depth of knowledge and expertise in their specialty area and manage complex clinical
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and systems issues. Registered nurses are generally direct care providers.
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Nursepractitioners (NPs) manage direct clinical care of groups of patients. v v v v v v v v v
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 2 v v v v
OBJ: Nursing Process Step: N/A
v TOP: Critical Care Nursing v v v v v v
Practice MSC: NCLEX: Safe and Effective Care Environment
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4. Which professional organization administers critical care certification exams
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forregistered nurses?
v v
a. State Board of Registered Nurses
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b. National Association of Clinical NurseSpecialist v v v v v
c. Society of Critical Care Medicine v v v v
d. American Association of Critical-CareNurses v v v v
ANS: D v
American Association of Critical-Care Nurses (AACN) administers certification exams for
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registered nurses. The State Board of Registered Nurses (SBON) does not
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administercertification exams. National Association of Clinical Nurse Specialists (NACNS)
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does not administer certification exams. Society of Critical Care Medicine (SCCM) does
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not administer nursing certification exams for registered nurses.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 3 v v v v
OBJ: Nursing Process Step: N/A
v TOP: Critical Care Nursing v v v v v v
Practice MSC: NCLEX: Safe and Effective Care Environment
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5. Emphasis is on human integrity and stresses the theory that the body, mind, and
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spiritare interdependent and inseparable. This statement describes which methodology
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of care?
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a. Holistic care v
b. Individualized care v
c. Cultural care v
d. Interdisciplinary care v
ANS: A v
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are
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interdependent and inseparable. Individualized care recognizes the uniqueness of each
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patient’s preferences, condition, and physiologic and psychosocial status. Cultural diversityin
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health care is not a new topic, but it is gaining emphasis and importance as the world
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becomes more accessible to all as the result of increasing technologies and interfaces
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withplaces and peoples. Interdisciplinary care is care among a variety of health care
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professionals with the patient’s health as the common goal.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 4 v v v v
OBJ: Nursing Process Step: N/A
v TOP: Critical Care Nursing v v v v v v
Practice MSC: NCLEX: Safe and Effective Care Environment
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