Understanding the Essentials of Critical Care Nursing (Perrin) – Verified Test Bank | All Chapters | Hemodynamics, Ventilation, Shock, Cardiac, Neuro, Renal, Sepsis, Endocrine Crises & High‑Acuity Clinical Judgment

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, Understanding the Ess. of Critical Care Nursing (Perrin)
Chapter 1 What Is Critical Care?

1) Identify who of the following patients suffers from critical illness. A patient:
1. With chronic airflow limitation whose VS are: BP 110/72, P 110, R 16.
2. With acute bronchospasm and whose VS are: BP 100/60, P 124, R 32.
3. Who was involved in a motor vehicle accident whose VS are: BP 124/74, P 74, R 18.
4. On chronic dialysis with no urine output and whose VS are: BP 98/50, P 108, R
12. Answer: 2
Explanation: 1. Acute bronchospasm can present a life-threatening situation, which can jeopardize a
patientʹs
survival. #1, #3, and #4 are examples of non-life-threatening situations.
Nursing Process: Assessment
Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
2. Acute bronchospasm can present a life-threatening situation, which can jeopardize a
patientʹs survival. #1, #3, and #4 are examples of non-life-threatening situations.
Nursing Process: Assessment
Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
3. Acute bronchospasm can present a life-threatening situation, which can jeopardize a
patientʹs survival. #1, #3, and #4 are examples of non-life-threatening situations.
Nursing Process: Assessment
Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
4. Acute bronchospasm can present a life-threatening situation, which can jeopardize a
patientʹs survival. #1, #3, and #4 are examples of non-life-threatening situations.
Nursing Process: Assessment
Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
Learning Outcome: 1-1: Define critical care



2) Of the following patients, who should be cared for in a critical care unit? A patient: (Select all that apply.)
1. With an acetaminophen overdose
2. Suffering from acute mental illness
3. With chronic renal failure
4. With acute decompensated heart
failure Answer: 1, 4
Explanation: 1. (Note: This requires multiple responses to be correct.)
Critical care units are cost-efficient units for caring for patients with specific organ
system failure. Although the organ failing in #4 is obvious, patients with acetaminophen
overdose often suffer liver failure as a consequence. #2 and #3 present patient concerns
of a noncritical nature.
Nursing Process: Evaluation
Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
2. (Note: This requires multiple responses to be correct.)
Critical care units are cost-efficient units for caring for patients with specific organ
system failure. Although the organ failing in #4 is obvious, patients with acetaminophen
overdose often suffer liver failure as a consequence. #2 and #3 present patient concerns
of a noncritical nature.
Nursing Process: Evaluation
Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
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, 3. (Note: This requires multiple responses to be correct.)
Critical care units are cost-efficient units for caring for patients with specific organ
system failure. Although the organ failing in #4 is obvious, patients with acetaminophen
overdose often suffer liver failure as a consequence. #2 and #3 present patient concerns
of a noncritical nature.
Nursing Process: Evaluation
Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
4. (Note: This requires multiple responses to be correct.)
Critical care units are cost-efficient units for caring for patients with specific organ
system failure. Although the organ failing in #4 is obvious, patients with acetaminophen
overdose often suffer liver failure as a consequence. #2 and #3 present patient concerns
of a noncritical nature.
Nursing Process: Evaluation
Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
Learning Outcome: 1-1: Define critical care

3) A hospital in a small rural town would be able to provide which level of care in the critical care unit?
1. Level I
2. Level II
3. Level III
4. It is unlikely that the hospital would have a critical care
unit Answer: 3
Explanation: 1. #1 and #2 describe more advanced and inclusive critical care abilities; #4 is not likely at
all
because most hospitals have some critical care areas.
Nursing Process: Evaluation
Cognitive Level: Application
Category of Need: Safe, Effective Care Environment–Management of Care
2. #1 and #2 describe more advanced and inclusive critical care abilities; #4 is not likely
at all because most hospitals have some critical care areas.
Nursing Process: Evaluation
Cognitive Level: Application
Category of Need: Safe, Effective Care Environment–Management of Care
3. #1 and #2 describe more advanced and inclusive critical care abilities; #4 is not likely
at all because most hospitals have some critical care areas.
Nursing Process: Evaluation
Cognitive Level: Application
Category of Need: Safe, Effective Care Environment–Management of Care
4. #1 and #2 describe more advanced and inclusive critical care abilities; #4 is not likely
at all because most hospitals have some critical care areas.
Nursing Process: Evaluation
Cognitive Level: Application
Category of Need: Safe, Effective Care Environment–Management of Care
Learning Outcome: 1-2: State the three levels of care provided in critical care units

4) A nurse employed in an ʺopenʺ ICU would most likely be working with a:
1. Multidisciplinary team with physicians who are also responsible for patients on other units.
2. Multidisciplinary team that includes a physician employed by the hospital.
3. Physician in charge of patient care who is a specialist in critical care.
4. Primary care physician who must consult a critical care
specialist. Answer: 1
Explanation: 1. #2, #3, and #4 refer to ʺclosedʺ ICUs.
Nursing Process: Evaluation
Cognitive Level: Analysis
Category of Need: Safe, Effective Care Environment–Management of Care
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, 2. #2, #3, and #4 refer to ʺclosedʺ
ICUs. Nursing Process: Evaluation
Cognitive Level: Analysis
Category of Need: Safe, Effective Care Environment–Management of Care
3. #2, #3, and #4 refer to ʺclosedʺ
ICUs. Nursing Process: Evaluation
Cognitive Level: Analysis
Category of Need: Safe, Effective Care Environment–Management of Care
4. #2, #3, and #4 refer to ʺclosedʺ
ICUs. Nursing Process: Evaluation
Cognitive Level: Analysis
Category of Need: Safe, Effective Care Environment–Management of Care
Learning Outcome: 1-3: Compare and contrast ʺopenʺ and ʺclosedʺ critical care units

5) According to the Institute of Medicine, technology increases the likelihood of errors in critical care units
when:
1. It relies heavily on human decision-making.
2. Devices are programmed to function without double-checks.
3. It makes the workload seem overwhelming to health care providers.
4. There is uniform equipment throughout each
facility. Answer: 2
Explanation: 1. #1, #3, and #4 have not been identified to increase the likelihood of errors in the critical
care
unit.
Nursing Process: Evaluation
Cognitive Level: Comprehension
Category of Need: Safe, Effective Care Environment–Management of Care
2. #1, #3, and #4 have not been identified to increase the likelihood of errors in the
critical care unit.
Nursing Process: Evaluation
Cognitive Level: Comprehension
Category of Need: Safe, Effective Care Environment–Management of Care
3. #1, #3, and #4 have not been identified to increase the likelihood of errors in the
critical care unit.
Nursing Process: Evaluation
Cognitive Level: Comprehension
Category of Need: Safe, Effective Care Environment–Management of Care
4. #1, #3, and #4 have not been identified to increase the likelihood of errors in the
critical care unit.
Nursing Process: Evaluation
Cognitive Level: Comprehension
Category of Need: Safe, Effective Care Environment–Management of Care
Learning Outcome: 1-4: Explain why critical care units are one of the most common sites for health care errors




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