Test Bank For High Acuity Nursing, 7th Edition (Wagner), Chapter 1-39 | All Chapters Isbn No: 9780134459295 ||A+ Guide

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Test bank for High Acuity Nursing 7th Edition
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Wagner Pierce Welsh -latest
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Chapter R1. RHigh-Acuity RNursing
RQuestion R 1

Type: RMCSA
The Rpatient Rwho Rhad Rsurgery Ryesterday Rreports Rhis Rchest Rfeels Rtight. RAssessment Rreveals
Rrespiratory R rate R of R 29, R inspiratory R wheezes, R stridor, R and R an R oxygenation R saturation R of

R 80%. RTheRnurse R would R consider R this R patient R to R be R which R priority R for R transfer R to

R the R intensive R care R unit R(ICU)?

1. Priority R1
2. Priority R2
3. Priority R3
4. Priority R4
RCorrect RAnswer:

R1

Rationale R 1: R This R patient R is R exhibiting R signs R of R an R acute R respiratory R event R for
R which R intubation Ror Rother Rintensive Rtreatment Rmay Rbe Rnecessary. RPriority R1 Rpatients Rare

Racutely Rill Rand Rneed Rintensive R treatment R and R monitoring R not R provided R outside R of

R the R ICU.

Rationale R 2: R Priority R 2 R refers R to R patients R needing R intensive R monitoring R and R may
R potentially Rneed R additional R interventions. R They R are R typically R not R evolving R an

R acute R event R as R is R the R caseRwith R this R patient.

Rationale R 3: R Priority R 3 R patients R are R critically R ill R but R have R little R chance R of R recovery
R from R theirRillnesses. R Limits R are R placed R on R therapeutic R interventions R and R they R can R be

R cared R for R in R areas Rother R than R the R ICU R if R necessary.

Rationale R 4: R Priority R 4 R patients R have R no R signs R or R symptoms R that R indicate R intensive
R monitoringRor R treatment R are R necessary.

Global RRationale:
Cognitive RLevel: RAnalyzing
Client R Need: RSafe REffective R Care
R EnvironmentRClient R Need R Sub:

R Management R of R Care

Nursing/Integrated RConcepts: RNursing RProcess: RPlanning
RLearning R Outcome: R 1-1

Question R2
RType: RMCSA

The Rdaughter Rof Ra Rpatient Rwho Ris Rdying Rquestions Rthe Rplacement Rof Rher Rfather Ron Rthe
Rmedicalsurgical R care R unit R (MSCU). R She R requests R he R be R placed R in R the R intensive

R care R unit R (ICU)Rbecause R of R concern R her R father R may R not R receive R close R observation

R on R a R busy R hospital R unit.

Which R action R is R indicated R by R the R nurse?
1. Notify R the R intensive R care R unit R of R an R impending R transfer.
2. Tell R the R daughter R that R her R father R does R not R meet R criteria R for R placement
R in R the R moreRexpensive R ICU.

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3. Discuss R the R care R that R can R be R provided R on R the R unit R with R the R family R member.
4. Contact
R the

Rphysician.

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Correct RAnswer: R 3