TEST BANK FOR High-Acuity Nursing 7th Edition by Kathleen Wagner ISBN:978-0134459295 ALL CHAPTERS COVERED YOUR ULTIMATE GUIDE 100% VERIFIED A+ GRADE ASSURED!!!!!!!!! NEW LATEST UPDATE!!!!!!!!

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, Chapter 1. High-Acuity Nursing
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Question 1 AQ AQ




Type: MCS AQ




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The patient who had surgery yesterday reports his chest feels tight. Assessment reveals respirator
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y rate of 29, inspiratory wheezes, stridor, and an oxygenation saturation of 80%. The nurse wou
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ld consider this patient to be which priority for transfer to the intensive care unit (ICU)?
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1. Priority 1 AQ




2. Priority 2 AQ




3. Priority 3 AQ




4. Priority 4 AQ




Correct Answer: 1 AQ AQ




Rationale 1: This patient is exhibiting signs of an acute respiratory event for which intubation
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Qor other intensive treatment may be necessary. Priority 1 patients are acutely ill and need inte
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nsive treatment and monitoring not provided outside of the ICU.
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Rationale 2: Priority 2 refers to patients needing intensive monitoring and may potentially need additi
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onal interventions. They are typically not evolving an acute event as is the case with this patient.
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Rationale 3: Priority 3 patients are critically ill but have little chance of recovery from their
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illnesses. Limits are placed on therapeutic interventions and they can be cared for in areas
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other than the ICU if necessary.
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Rationale 4: Priority 4 patients have no signs or symptoms that indicate intensive monitoring or t
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reatment are necessary. AQ AQ




Global Rationale: AQ




Cognitive Level: Analyzing AQ AQ




Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/I
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ntegrated Concepts: Nursing Process: Planning Learning Outcome: 1-1
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Question 2 Type: MCSA AQ AQ AQ




The daughter of a patient who is dying questions the placement of her father on the medicalsu
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rgical care unit (MSCU). She requests he be placed in the intensive care unit (ICU) because
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of concern her father may not receive close observation on a busy hospital unit. Which action
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is indicated by the nurse?
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1. Notify the intensive care unit of an impending transfer.
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2. Tell the daughter that her father does not meet criteria for placement in the more expensive ICU.
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,3. Discuss the care that can be provided on the unit with the family member.
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, 4. Contact the physicia AQ AQ


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Correct Answer: 3 AQ AQ




Rationale 1: The nurse cannot make this transfer decision independently.
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Rationale 2: Telling the daughter that her father does not meet criteria for transfer is not thera
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peutic. Bringing up the issue of cost may cause the daughter to offer to pay the difference bet
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ween the costs of the two units. This would create a serious ethical dilemma.
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Rationale 3: The best initial response is to help the daughter understand the level of care and ob
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servation that will be provided on the MSCU so as to help her understand that her fathers care
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will be a priority.
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Rationale 4: The nurse should try to intervene in this situation before involving the physician.
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Global Rationale: AQ




Cognitive Level: Analyzing AQ AQ




Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/
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Integrated Concepts: Nursing Process: Implementation Learning Outcome: 1-1
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Question 3 Type: MCSA AQ AQ AQ




A nurse who is contemplating taking a position in an intensive care unit is reviewing her stren
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gths and weaknesses. Which characteristics of the nurse will be of the greatest benefit in the
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intensive care environment?
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1. Feels comfortable in ever changing situations
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2. Closely evaluates the pros and cons of each decision for a long period of time before making a d
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ecision

3. Is quiet and introverted
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4. Is excited about all new experiences Correct Answer: 1
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Rationale 1: The nurse in the intensive care unit must be open to ever-
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changing situations. The nurse must be flexible.
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Rationale 2: The rapid changes in the intensive care unit do not allow for extended time when consi
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dering actions. AQ




Rationale 3: A quiet and introverted nurse may not be a good match for the high paced high-
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acuity care unit due to the need for teamwork and interaction.
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Rationale 4: Excitement about all experiences is a beneficial characteristic in healthcare but is
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not the most important factor for this particular care unit.
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Global Rationale: AQ




Cognitive Level: Analyzing AQ AQ



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