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,TABLEOFCONTENTS s s
UNIT ONE: FOUNDATIONS IN CRITICAL CARE NURSING
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1. Caring for the Critically Ill Patient
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2. Ethical and Legal Issues
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3. Facilitating Care Transitions ss ss
UNIT TWO: COMMON PROBLEMS IN CRITICAL CARE
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4. Psychosocial and Spiritual Considerations ss ss ss
5. Nutritional Alterations and Management ss ss ss
6. The Older Adult
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7. Pain and Pain Management
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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 ss ss ss ss ss
11. Cardiovascular Disorders ss
12. Cardiovascular Therapeutic Management ss ss
UNIT FOUR: PULMONARY ALTERATIONS
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13. Pulmonary Clinical Assessment and Diagnostic Procedures
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14. Pulmonary Disorders ss
15. Pulmonary Therapeutic Management ss ss
UNIT FIVE: NEUROLOGICAL ALTERATIONS
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16. Neurological Clinical Assessment and Diagnostic Procedures ss ss ss ss ss
17. Neurologic Disorders and Therapeutic Management ss ss ss ss
UNIT SIX: KIDNEY ALTERATIONS
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18. Kidney Clinical Assessment and Diagnostic Procedures
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19. Kidney Disorders and Therapeutic Management
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UNIT SEVEN: GASTROINTESTINAL ALTERATIONS
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20. Gastrointestinal Clinical Assessment and Diagnostic Procedures ss ss ss ss ss
21. Gastrointestinal Disorders and Therapeutic Management ss ss ss ss
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 ss ss ss ss
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. Hematological and Oncological Emergencies ss ss ss
,Chapter 01: Critical Care Nursing
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PracticeUrden: Critical Care Nursing, 9th
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MULTIPLE
CHOICE
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1. During WorldWarII, what type of wards were developed to care for
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criticallyinjured patients?
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a. Intensive care ss
b. Triage
c. Shock
d. Postoperative
ANS: C ss
During World War II, shock wards were established to care for critically injured patients. Triage
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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 careunits.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 1 ss ss ss ss
OBJ:ss Nursing Process Step: N/A TOP: Critical Care Nursing ss s s ss ss ss ss
PracticeMSC: NCLEX: Safe and Effective Care Environment
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2. What type of practitioner has a broad depth of specialty knowledge and expertise
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andmanages complex clinical and system issues?
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a. Registered nurses s s
b. Advanced practice nurses ss ss
c. Clinical nurse leaders s s ss
d. Intensivists
ANS: B ss
Advanced practice nurses (APNs) have a broad depth of knowledge and expertise in
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theirspecialty area and manage complex clinical and systems issues. Intensivists are medical
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practitioners who manage the critical ill patient. Registered nurses (RNs) are generally direct
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care providers. Clinical nurse leaders (CNLs) generally do not manage system issues.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 2 ss ss ss ss
OBJ:ss Nursing Process Step: N/A TOP: Critical Care Nursing ss s s ss ss ss ss
PracticeMSC: NCLEX: Safe and Effective Care Environment
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3. What type of practitioner is instrumental in ensuring care that is evidence based
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andthat safety programs are in place?
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a. Clinical nurse ss
specialist b.
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Advancedpractic
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e nurse c.ss ss
Registered nurses s s
d. Nurse practitioners
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ANS: A ss
, Clinical nurse specialists (CNSs) serve in specialty roles that use their clinical, teaching,
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research, leadership, and consultative abilities. They are instrumental in ensuring that care is
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evidence based and that safety programs are in place. Advanced practice nurses (APNs)have a
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broad depth of knowledge and expertise in their specialty area and manage complex clinical
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and systems issues. Registered nurses are generally direct care providers.
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Nursepractitioners (NPs) manage direct clinical care of groups of patients.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 2 ss ss ss ss
OBJ:ss Nursing Process Step: N/A TOP: Critical Care Nursing ss s s ss ss ss ss
PracticeMSC: NCLEX: Safe and Effective Care Environment
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4. Which professional organization administers critical care certification exams
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forregistered nurses?
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a. State Board of Registered Nurses ss ss ss ss
b. National Association of Clinical NurseSpecialist ss ss ss ss
c. Society of Critical Care Medicine ss ss ss ss
d. American Association of Critical-Care Nurses ss ss ss fb
ANS: D ss
American Association of Critical-Care Nurses (AACN) administers certification exams for
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registered nurses. The State Board of Registered Nurses (SBON) does not
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administercertification exams. National Association of Clinical Nurse Specialists (NACNS)
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does not administer certification exams. Society of Critical Care Medicine (SCCM) does
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not administer nursing certification exams for registered nurses.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 3 ss ss ss ss
OBJ:ss Nursing Process Step: N/A TOP: Critical Care Nursing ss s s ss ss ss ss
PracticeMSC: NCLEX: Safe and Effective Care Environment
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5. Emphasis is on human integrity and stresses the theory that the body,mind, and
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spirit are interdependent and inseparable. This statement describes which methodology
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of care?
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a. Holistic care ss
b. Individualized care ss
c. Cultural care ss
d. Interdisciplinarycare s
ANS: A ss
Holistic care focuses on human integrity and stresses that the body, mind, and spirit are
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interdependent and inseparable. Individualized care recognizes the uniqueness of each
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patient’s preferences, condition, 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
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becomes more accessible to all as the result of increasing technologies and interfaces
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withplaces and peoples. Interdisciplinary care is care among a variety of health care
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professionals with the patient’s health as the common goal.
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PTS: 1 DIF: Cognitive Level: Remembering REF: p. 4 ss ss ss ss
OBJ:ss Nursing Process Step: N/A TOP: Critical Care Nursing ss s s ss ss ss ss
PracticeMSC: NCLEX: Safe and Effective Care Environment
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