j j j j j j j
CARE NURSING 3RD EDITION BY KATHLEEN PERRIN,
j j j j j j j
CARRIE MACLEOD j j
TABLE jOF jCONTENT
1. What jis jCritical jCare?
2. Care jof jthe jCritical jIll jPatient
3. Care jof jthe jPatient jwith jRespiratory jFailure
4. Interpretation jand jManagement jof jBasic jDysrhythmias
5. Cardiodynamics jand jHemodynamic jRegulation
6. Care jof jthe jPatient jExperiencing jShock
7. Care jof jthe jPatient jExperiencing jHeart jFailure
8. Care jof jthe jPatient jExperiencing jAcute jCoronary jSyndrome
9. Care jof jthe jPatient jFollowing jTraumatic jInjury
10. Care jof jthe jPatient jExperiencing jan jIntracranial jDysfunction
11. Care jof jthe jPatient jWith ja jCerebral jor jCerbrovascular jDisorder
12. Care jof jthe jCritically jIll jPatient jExperiencing jAlcohol jWithdrawal jand/or jLiver jFailure
13. Care jof jthe jPatient jWith jan jAcute jGastrointestinal jBleed jor jPancreatitis
14. Care jof jthe jPatient jwith jProblems jin jGlucose jMetabolism
15. Care jof jthe jPatient jwith jAcute jKidney jInjury
16. Care jof jthe jOrgan jDonor jand jTransplant jRecipient
17. Care jof jthe jAcutely jIll jBurn jPatient
18. Care jof jthe jPatient jwith jSepsis
19. Care jof jthe jICU jPatient jat jthe jEnd jof jLife
, Perrin: Understanding the Essentials of Critical Care
j j j j j j
1: What is Critical Care?
j j j j j
MULTIPLE j CHOICE. j j Choose j the j one j alternative j that j best j completes j the j statem
j ques
1) Of jthe jfollowing jpatients, jwho jshould jbe jcared jfor jin ja jcritical jcare junit? jA jpatie
japply.)
A) With j an j acetaminophen j overdose
B) Suffering jfrom jacute jmental jillness
C) With jchronic jrenal jfailure
D) With jacute jdecompensated jheart jfailure
ANSWER: jA, j D
Explanation: j j A) j (Note: j This j requires j multiple j responses j to j be j correct.)
Critical jcare junits jare jc o- je
s tfficient junits jfor jcaring jfor jpatients jw
system jfailure. jAlthough jthe jorgan jfailing jin j#4 jis jobvious, jpat
joverdose joften jsuffer jliver jfailure jas ja jconsequence. j#2 jand j#3
jof ja jnoncritical jnature.
Nursing jProcess: jEvaluation
jCognitive jLevel: jAnalysis
Category jof jNeed: jPhysiological jIntegrity–Physiological jAdapta
,B) (Note: jThis jrequires jmultiple jresponses jto jbe jcorrect.)
Critical jcare junits jare jc o- je
s tfficient junits jfor jcaring jfor jpatients jw
system jfailure. jAlthough jthe jorgan jfailing jin j#4 jis jobvious, jpat
joverdose joften jsuffer jliver jfailure jas ja jconsequence. j#2 jand j#3
jof ja jnoncritical jnature.
Nursing jProcess: jEvaluation
jCognitive jLevel: jAnalysis
Category jof jNeed: jPhysiological jIntegrity–Physiological jAdapta
C) (Note: jThis jrequires jmultiple jresponses jto jbe jcorrect.)
Critical jcare junits jare jc o- je
s tfficient junits jfor jcaring jfor jpatients jw
system jfailure. jAlthough jthe jorgan jfailing jin j#4 jis jobvious, jpat
joverdose joften jsuffer jliver jfailure jas ja jconsequence. j#2 jand j#3
jof ja jnoncritical jnature.
Nursing jProcess: jEvaluation
jCognitive jLevel: jAnalysis
Category jof jNeed: jPhysiological jIntegrity–Physiological jAdapta
D) (Note: jThis jrequires jmultiple jresponses jto jbe jcorrect.)
Critical jcare junits jare jc o- je
s tfficient junits jfor jcaring jfor jpatients jw
system jfailure. jAlthough jthe jorgan jfailing jin j#4 jis jobvious, jpat
joverdose joften jsuffer jliver jfailure jas ja jconsequence. j#2 jand j#3
jof ja jnoncritical jnature.
Nursing jProcess: jEvaluation
jCognitive jLevel: jAnalysis
Category jof jNeed: jPhysiological jIntegrity–Physiological jAdapta
, 2) A jhospital jin ja jsmall jrural jtown jwould jbe jable jto jprovide jwhich jlevel jof jcare jin jt
A) Level j I
B) Level j II
C) Level j III
D) It jis junlikely jthat jthe jhospital jwould jhave ja jcritical jcare junit
ANSWER: jC
Explanation: j A) j#1 jand j#2 jdescribe jmore jadvanced jand jinclusive jcritical jcare
jall jbecause jmost jhospitals jhave jsome jcritical jcare jareas.
Nursing jProcess: jEvaluation
jCognitive jLevel: jApplication
Category jof jNeed: jSafe, jEffective jCare jEnvironment–Managem
B) #1 jand j#2 jdescribe jmore jadvanced jand jinclusive jcritical jcare ja
jall jbecause jmost jhospitals jhave jsome jcritical jcare jareas.
Nursing jProcess: jEvaluation
jCognitive jLevel: jApplication
Category jof jNeed: jSafe, jEffective jCare jEnvironment–Managem
C) #1 jand j#2 jdescribe jmore jadvanced jand jinclusive jcritical jcare ja
jall jbecause jmost jhospitals jhave jsome jcritical jcare jareas.
Nursing jProcess: jEvaluation
jCognitive jLevel: jApplication
Category jof jNeed: jSafe, jEffective jCare jEnvironment–Managem
D) #1 jand j#2 jdescribe jmore jadvanced jand jinclusive jcritical jcare ja
jall jbecause jmost jhospitals jhave jsome jcritical jcare jareas.
Nursing jProcess: jEvaluation
jCognitive jLevel: jApplication
Category jof jNeed: jSafe, jEffective jCare jEnvironment–Managem
3) A j nurse j employed j in j an j "open" j ICU j would j most j likely j be j working j with j a:
A) Multidisciplinary jteam jwith jphysicians jwho jare jalso jresponsible jfor jpatients
B) Multidisciplinary jteam jthat jincludes ja jphysician jemployed jby jthe jhospital.
C) Physician jin jcharge jof jpatient jcare jwho jis ja jspecialist jin jcritical jcare.
D) Primary jcare jphysician jwho jmust jconsult ja jcritical jcare jspecialist.
ANSWER: jA
Explanation: j A) j #2, j #3, j and j #4 j refer j to j "closed" j ICUs.
j
Nursing jProcess: jEvaluation
jCognitive jLevel: jAnalysis
Category jof jNeed: jSafe, jEffective jCare jEnvironment–Managem
B) #2, j#3, jand j#4 jrefer jto j"closed" jICUs.
jNursing jProcess: jEvaluation
Cognitive jLevel: jAnalysis
Category jof jNeed: jSafe, jEffective jCare jEnvironment–Managem
C) #2, j#3, jand j#4 jrefer jto j"closed" jICUs.
jNursing jProcess: jEvaluation
Cognitive jLevel: jAnalysis
Category jof jNeed: jSafe, jEffective jCare jEnvironment–Managem
D) #2, j#3, jand j#4 jrefer jto j"closed" jICUs.