1
f Contents
n9
Table of Contents
n9 n9
1
Chapter 01: Overview of Critical Care Nursing
n9 n9 n9 n9 n9 n9 Chapter n9
Chapter 02: Patient and Family Response to the Critical Care Expe
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 12: Shoc n9
rienceChapter 03: Ethical and Legal Issues in Critical Care Nursing
n
9 n9 n9 n9 n9 n9 n9 n9 n9 n9 k, Sepsis
n9
Chapter 04: Palliative and End-of-
n9 n9 n9 n9 , and Mu
n9 n9
Life CareChapter 05: Comfort and S
n9 n
9 n9 n 9 n 9 n 9 ltiple Org n9
edation Chapter 06: Nutritional Therapy
n9 n9 n9 n9 an Dysfu
n9
Chapter 07: Dysrhythmia Interpretation and Managemen
n9 n9 n9 n9 n9 nction Sy n9
tChapter 08: Hemodynamic Monitoring
n
9 n9 n9 n9 ndromeC n
9
Chapter 09: Ventilatory Assistance
n9 n9 n9 hapter 13 n9
Chapter 10: Rapid Response Teams and Code Manage
n9 n9 n9 n9 n9 n9 n9 : Cardiov
n9
mentChapter 11: Organ Donation
n
9 n9 n9 n9 ascular A n9
[Date] 1
,2
lterations 2
Chapter 14: Nervous System Alterati
n9 n9 n9 n9 14
onsChapter 15: Acute Respiratory Fail
n
9 n9 n9 n9 n9 30
ure Chapter 16: Acute Kidney Injur
n9 n9 n 9 n 9 n 9 42
y Chapter 17: Gastrointestinal Alterati
n9 n9 n9 n9
56
ons 69
Chapter 17: Hematological and Immune DisordersCh
n9 n9 n9 n9 n9 n
9
83
apter 19: Endocrine Alterations
n9 n9 n9
117
Chapter 20: Trauma and Surgical Manage
n9 n9 n9 n9 n9
137
mentChapter 21: Burns
n
9 n9 n9
156
171
189
207
225
243
260
285
312
341
361
377
[Date] 2
,3
Chapter 01: Overview of Critical Care Nursing
n9 n9 n9 n9 n9 n9
MULTIPLE CHOICE n9
1. Which of the following professional organizations best supports critical care nursing practice?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. American Association of Critical-Care Nurses
n9 n9 n9 n9
b. American Heart Association n9 n9
c. American Nurses Association n9 n9
d. Society of Critical Care Med n9 n9 n9 n9
icineANS: A 9
n n9
The American Association of Critical-
n9 n9 n9 n9
Care Nurses is the specialty organization that supports and represents critical care nurses. Th
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
e American Heart Association supports cardiovascular initiatives. The American NursesAssocia
n9 n9 n9 n9 n9 n9 n9 n9 n9 9
n
tion supports all nurses. The Society of Critical Care Medicine represents the multiprofessional
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
critical care team under the direction of an intensivist.
n9 n9 n9 n9 n9 n9 n9 n9
DIF: Cognitive Level: Knowledge REF: p. 4
n9 n9 n9 n9 n9 n9
OBJ: Discuss the purposes and functions of the professional organizations that support critical c
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
are practice.TOP: Nursing Process Step: N/A
n9 9
n n9 n9 n9 n9
MSC: NCLEX: Safe and Effective Care Environment
n9 n9 n9 n9 n9 n9
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
is interested incertification. Which credential would be most applicable for her to seek?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. ACNPC
b. CCNS
c. CCRN
[Date] 3
, 4
d. PCCN
ANS: C n9
The CCRN certification is appropriate for nurses in bedside practice who care for critically
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
n9 ill patients. TheACNPC certification is for acute care nurse practitioners. The CCNS certific
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ation is for critical care clinical nurse specialists. The PCCN certification is for staff nurses wo
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
rking in progressive care, intermediate care, orstep-down unit settings.
n9 n9 n9 n9 n9 n9 9
n n9 n9
DIF: Cognitive Level: Application REF: p. 5
n9 n9 n9 n9 n9 n9
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process St
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ep: N/AMSC: NCLEX: Safe and Effective Care Environment
n9 9
n n9 n9 n9 n9 n9 n9
3. The main purpose of certification is to:
n9 n9 n9 n9 n9 n9
a. assure the consumer that you will not make a mistake.
n9 n9 n9 n9 n9 n9 n9 n9 n9
b. prepare for graduate school. n9 n9 n9
c. promote magnet status for your facility. n9 n9 n9 n9 n9
d. validate knowledge of critical care nursing.
n9 n9 n9 n9 n9
ANS: D n9
Certification assists in validating knowledge of the field, promotes excellence in the professi
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
on, and helps nurses to maintain their knowledge of critical care nursing. Certification helps to
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
assure the consumer that thenurse has a minimum level of knowledge; however, it does not en
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
sure that care will be mistake-free.
n9 n9 n9 n9 n9
Certification does not prepare one for graduate school; however, achieving certification dem
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
onstrates motivation for achievement and professionalism. Magnet facilities are rated on the nu
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
mber of certified nurses;however, that is not the purpose of certification.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
[Date] 4
f Contents
n9
Table of Contents
n9 n9
1
Chapter 01: Overview of Critical Care Nursing
n9 n9 n9 n9 n9 n9 Chapter n9
Chapter 02: Patient and Family Response to the Critical Care Expe
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 12: Shoc n9
rienceChapter 03: Ethical and Legal Issues in Critical Care Nursing
n
9 n9 n9 n9 n9 n9 n9 n9 n9 n9 k, Sepsis
n9
Chapter 04: Palliative and End-of-
n9 n9 n9 n9 , and Mu
n9 n9
Life CareChapter 05: Comfort and S
n9 n
9 n9 n 9 n 9 n 9 ltiple Org n9
edation Chapter 06: Nutritional Therapy
n9 n9 n9 n9 an Dysfu
n9
Chapter 07: Dysrhythmia Interpretation and Managemen
n9 n9 n9 n9 n9 nction Sy n9
tChapter 08: Hemodynamic Monitoring
n
9 n9 n9 n9 ndromeC n
9
Chapter 09: Ventilatory Assistance
n9 n9 n9 hapter 13 n9
Chapter 10: Rapid Response Teams and Code Manage
n9 n9 n9 n9 n9 n9 n9 : Cardiov
n9
mentChapter 11: Organ Donation
n
9 n9 n9 n9 ascular A n9
[Date] 1
,2
lterations 2
Chapter 14: Nervous System Alterati
n9 n9 n9 n9 14
onsChapter 15: Acute Respiratory Fail
n
9 n9 n9 n9 n9 30
ure Chapter 16: Acute Kidney Injur
n9 n9 n 9 n 9 n 9 42
y Chapter 17: Gastrointestinal Alterati
n9 n9 n9 n9
56
ons 69
Chapter 17: Hematological and Immune DisordersCh
n9 n9 n9 n9 n9 n
9
83
apter 19: Endocrine Alterations
n9 n9 n9
117
Chapter 20: Trauma and Surgical Manage
n9 n9 n9 n9 n9
137
mentChapter 21: Burns
n
9 n9 n9
156
171
189
207
225
243
260
285
312
341
361
377
[Date] 2
,3
Chapter 01: Overview of Critical Care Nursing
n9 n9 n9 n9 n9 n9
MULTIPLE CHOICE n9
1. Which of the following professional organizations best supports critical care nursing practice?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. American Association of Critical-Care Nurses
n9 n9 n9 n9
b. American Heart Association n9 n9
c. American Nurses Association n9 n9
d. Society of Critical Care Med n9 n9 n9 n9
icineANS: A 9
n n9
The American Association of Critical-
n9 n9 n9 n9
Care Nurses is the specialty organization that supports and represents critical care nurses. Th
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
e American Heart Association supports cardiovascular initiatives. The American NursesAssocia
n9 n9 n9 n9 n9 n9 n9 n9 n9 9
n
tion supports all nurses. The Society of Critical Care Medicine represents the multiprofessional
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
critical care team under the direction of an intensivist.
n9 n9 n9 n9 n9 n9 n9 n9
DIF: Cognitive Level: Knowledge REF: p. 4
n9 n9 n9 n9 n9 n9
OBJ: Discuss the purposes and functions of the professional organizations that support critical c
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
are practice.TOP: Nursing Process Step: N/A
n9 9
n n9 n9 n9 n9
MSC: NCLEX: Safe and Effective Care Environment
n9 n9 n9 n9 n9 n9
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
is interested incertification. Which credential would be most applicable for her to seek?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. ACNPC
b. CCNS
c. CCRN
[Date] 3
, 4
d. PCCN
ANS: C n9
The CCRN certification is appropriate for nurses in bedside practice who care for critically
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
n9 ill patients. TheACNPC certification is for acute care nurse practitioners. The CCNS certific
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ation is for critical care clinical nurse specialists. The PCCN certification is for staff nurses wo
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
rking in progressive care, intermediate care, orstep-down unit settings.
n9 n9 n9 n9 n9 n9 9
n n9 n9
DIF: Cognitive Level: Application REF: p. 5
n9 n9 n9 n9 n9 n9
OBJ: Explain certification options for critical care nurses. TOP: Nursing Process St
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ep: N/AMSC: NCLEX: Safe and Effective Care Environment
n9 9
n n9 n9 n9 n9 n9 n9
3. The main purpose of certification is to:
n9 n9 n9 n9 n9 n9
a. assure the consumer that you will not make a mistake.
n9 n9 n9 n9 n9 n9 n9 n9 n9
b. prepare for graduate school. n9 n9 n9
c. promote magnet status for your facility. n9 n9 n9 n9 n9
d. validate knowledge of critical care nursing.
n9 n9 n9 n9 n9
ANS: D n9
Certification assists in validating knowledge of the field, promotes excellence in the professi
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
on, and helps nurses to maintain their knowledge of critical care nursing. Certification helps to
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
assure the consumer that thenurse has a minimum level of knowledge; however, it does not en
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
sure that care will be mistake-free.
n9 n9 n9 n9 n9
Certification does not prepare one for graduate school; however, achieving certification dem
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
onstrates motivation for achievement and professionalism. Magnet facilities are rated on the nu
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
mber of certified nurses;however, that is not the purpose of certification.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
[Date] 4