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TABLEOFCONTENTS

,UNIT ONE: FOUNDATIONS IN CRITICAL CARE NURSING
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1. Caring forthe Critically IllPatient
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2. Ethical and Legal Issues
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3. Facilitating Care Transitions vd vb




UNIT TWO: COMMON PROBLEMS IN CRITICAL CARE
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4. Psychosocial and Spiritual Considerations vd vd vd




5. NutritionalAlterationsandManagement vd vd




6. The Older Adult
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7. Pain andPainManagement
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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 vd vd vd vd vb




11. Cardiovascular Disorders vd




12. Cardiovascular Therapeutic Management vd vd




UNIT FOUR: PULMONARY ALTERATIONS
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13. PulmonaryClinicalAssessmentandDiagnosticProcedures
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14. Pulmonary Disorders vd




15. Pulmonary Therapeutic Management vd vd




UNIT FIVE: NEUROLOGICAL ALTERATIONS
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16. Neurological Clinical Assessment and Diagnostic Procedures vd vd vd vb vd




17. NeurologicDisorders and Therapeutic Management vd vd vd vd




UNIT SIX: KIDNEY ALTERATIONS
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18. Kidney ClinicalAssessment and Diagnostic Procedures
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19. KidneyDisordersand Therapeutic Management
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UNIT SEVEN: GASTROINTESTINAL ALTERATIONS
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20. Gastrointestinal Clinical Assessment and Diagnostic Procedures vd vd vb vb vd




21. GastrointestinalDisorders and Therapeutic Management vd vd vd vd




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. HematologicalandOncological Emergencies vd vd

,Chapter 01: Critical Care Nursing Practice Urd e
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n: Critical Care Nursing, 10th
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MULTIPLE vd



CHOICE

1. During World WarII, what type of wards were developed to care for criticallyin j ur
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ed patients? vd



a. Intensive care vd



b. Triage
c. Shock
d. Postoperative
ANS: C vd



During World War II, shock wards wereestablished to care for critically injured patients. Tr i ag
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e wards establish the order in which a patient is seen or treated upon arrival to a hospital
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. Postoperative wards were developed in 1900 and later evolved into intensive care units.
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PTS: DIF:v Cognitive Level: Remembering
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REF: p. 1 OBJ: Nursing Process Step: N/A v d v d v d vd vd vd



TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a vd vd vd vd vd vd vd vd vv



d nd Effective Care Environment
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2. What type of practitioner has a broad depth of specialty knowledge and expertise and
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manages complex clinical and system issues? vd vd vd vd vd



a. Registered nurses vb



b. Advanced practice nurses vb vd



c. Clinical nurse leaders vd vd



d. Intensivists
ANS: B vd



Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in theirs p
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ecialty area and manage complex clinical and systems issues. Intensivists are medical pract i tio
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ners who manage thecriticalillpatient.Registered nurses(RNs)aregenerallydirectcar e provid
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ers. Clinical nurse leaders (CNLs) generally do not manage system issues.
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PTS: DIF:v Cognitive Level: Remembering
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REF: p. 2 OBJ: Nursing Process Step: N/A v d v d v d vd vd vd



TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a vd vd vd vb vd vd vd vd vv



d nd Effective Care Environment
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3. What type of practitioner is instrumental in ensuring care that is evidence based and t
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hat safety programs are in place?
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a. Clinical nurse spe vd vd



c ialist b. Advanced pr
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act ice nurse c.
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Registered nurses vd



d. Nurse practitioners
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ANS: A vb

, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching, rese arc
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h, leadership, and consultative abilities. They are instrumental in ensuring that care is evi dence b
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ased and that safety programs are in place. Advanced practice nurses (APNs)have
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a broad depth of knowledge and expertise in their specialty area and manage complex cli n i
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cal and systems issues. Registered nurses are generally direct care providers. Nursepract iti
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oners (NPs) manage direct clinical care of groups of patients.
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PTS: DIF: v Cognitive Level: Remembering
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REF: p. 2 OBJ: Nursing Process Step: N/A v d v d v d vd vd vd



TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a vd vd vd vb vd vd vd vd vv


d nd Effective Care Environment
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4. Which professional organization administers critical care certification exams forre
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gistered nurses? vd



a. State Board of Registered Nurses vd vd vd vb



b. National Association of Clinical NurseSpecialist vd vd vd vd



c. Societyof Critical CareMedicine vd vd vd vd



d. American Association of Critical-CareNurses vd vb vd




ANS: D vb



American Association of Critical- vd vd vd



Care Nurses (AACN) administers certification exams for registered nurses. The State Boa r
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d of Registered Nurses (SBON) does not administercertification exams. National Associa t
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ion of Clinical Nurse Specialists (NACNS) does not administer certification exams. Socie t
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y of Critical Care Medicine (SCCM) does notadminister nursing certification exams for r eg
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istered nurses. vd




PTS: DIF: v Cognitive Level: Remembering
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REF: p. 3 OBJ: Nursing Process Step: N/A v d v d v d vd vd vd



TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a vd vd vd vb vd vd vd vd vv



d nd Effective Care Environment
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5. Emphasis is on human integrity and stresses the theory that the body, mind, and spirit are
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interdependent and inseparable. This statement describes which methodology of c a re? vb vb vd vd vd vd vd vd vd vd vd



a. Holistic care vd



b. Individualized care vb



c. Cultural care vd



d. Interdisciplinary care vd




ANS: A vb



Holistic care focuses on human integrity and stresses that the body, mind, and spirit are inte rdepen d
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ent and inseparable. Individualized care recognizes the uniqueness of each patient’s preferences, c o
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ndition, 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 beco
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mes more accessible to all as the result of increasing technologies and interfaces with places a
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nd peoples. Interdisciplinary care is care among a variety of health care professionals with t h
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e patient’s health as the common goal.
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PTS: DIF: v Cognitive Level: Remembering
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REF: p. 4 OBJ: Nursing Process Step: N/A v d v d v d vd vd vd



TOP: Critical Care Nursing Practice MSC: NCLEX: Safe a vd vd vd vb vd vd vd vd vv



d nd Effective Care Environment
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