Test Bank for Understanding the Essentials of Critical Care Nursing, 3rd Edition

TEST BANK FOR UNDERSTANDING THE ESSENTIALS OF
CRITICAL CARE NURSING 3RD EDITION BY KATHLEEN
PERRIN, CARRIE MACLEOD


TABLE OF CONTENT

1. What is Critical Care?

2. Care of the Critical Ill Patient

3. Care of the Patient with Respiratory Failure

4. Interpretation and Management of Basic Dysrhythmias

5. Cardiodynamics and Hemodynamic Regulation

6. Care of the Patient Experiencing Shock

7. Care of the Patient Experiencing Heart Failure

8. Care of the Patient Experiencing Acute Coronary Syndrome

9. Care of the Patient Following Traumatic Injury

10. Care of the Patient Experiencing an Intracranial Dysfunction

11. Care of the Patient With a Cerebral or Cerbrovascular Disorder

12. Care of the Critically Ill Patient Experiencing Alcohol Withdrawal and/or Liver Failure

13. Care of the Patient With an Acute Gastrointestinal Bleed or Pancreatitis

14. Care of the Patient with Problems in Glucose Metabolism

15. Care of the Patient with Acute Kidney Injury

16. Care of the Organ Donor and Transplant Recipient

17. Care of the Acutely Ill Burn Patient

18. Care of the Patient with Sepsis

19. Care of the ICU Patient at the End of Life

, Perrin: Understanding the Essentials of Critical Care Nursing
Chapter 1: What is Critical Care?
MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the ques



1) Of the following patients, who should be cared for in a critical care unit? A patient: (Select all that
apply.)
A) With an acetaminophen overdose
B) Suffering from acute mental illness
C) With chronic renal failure
D) With acute decompensated heart failure
ANSWER: A, D
Explanation: A) (Note: This requires multiple responses to be correct.)
Critical care units are c o- e
s tfficient 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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,B) (Note:gThisgrequiresgmultiplegresponsesgtogbegcorrect.)
Criticalgcaregunitsgaregc o- ge
s tfficient gunitsgforgcaringgforgpatientsgwithgspecificgorgan
systemgfailure.gAlthoughgthegorgangfailingging#4gisgobvious,gpatientsgwithgacetaminopheng
overdosegoftengsufferglivergfailuregasgagconsequence.g#2gandg#3gpresentgpatientgconcernsgo
fgagnoncriticalgnature.
NursinggProcess:gEvaluationgCog
nitivegLevel:gAnalysis
CategorygofgNeed:gPhysiologicalgIntegrity–PhysiologicalgAdaptation
C) (Note:gThisgrequiresgmultiplegresponsesgtogbegcorrect.)
Criticalgcaregunitsgaregc o- ge
s tfficient gunitsgforgcaringgforgpatientsgwithgspecificgorgan
systemgfailure.gAlthoughgthegorgangfailingging#4gisgobvious,gpatientsgwithgacetaminopheng
overdosegoftengsufferglivergfailuregasgagconsequence.g#2gandg#3gpresentgpatientgconcernsgo
fgagnoncriticalgnature.
NursinggProcess:gEvaluationgCog
nitivegLevel:gAnalysis
CategorygofgNeed:gPhysiologicalgIntegrity–PhysiologicalgAdaptation
D) (Note:gThisgrequiresgmultiplegresponsesgtogbegcorrect.)
Criticalgcaregunitsgaregc o- ge
s tfficient gunitsgforgcaringgforgpatientsgwithgspecificgorgan
systemgfailure.gAlthoughgthegorgangfailingging#4gisgobvious,gpatientsgwithgacetaminopheng
overdosegoftengsufferglivergfailuregasgagconsequence.g#2gandg#3gpresentgpatientgconcernsgo
fgagnoncriticalgnature.
NursinggProcess:gEvaluationgCog
nitivegLevel:gAnalysis
CategorygofgNeed:gPhysiologicalgIntegrity–PhysiologicalgAdaptation




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, 2) Aghospitalgingagsmallgruralgtowngwouldgbegablegtogprovidegwhichglevelgofgcaregingthegcriticalgcaregunit?
A) Levelg I
B) Levelg II
C) Levelg III
D) Itgisgunlikelygthatgtheghospitalgwouldghavegagcriticalgcaregunit
ANSWER:gC
Explanation:g A)g#1gandg#2gdescribegmoregadvancedgandginclusivegcriticalgcaregabilities;g#4gisgnotglikelygagal
lgbecausegmostghospitalsghavegsomegcriticalgcaregareas.
NursinggProcess:gEvaluationg
CognitivegLevel:gApplication
CategorygofgNeed:gSafe,gEffectivegCaregEnvironment–ManagementgofgCare
B) #1gandg#2gdescribegmoregadvancedgandginclusivegcriticalgcaregabilities;g#4gisgnotglikelygagal
lgbecausegmostghospitalsghavegsomegcriticalgcaregareas.
NursinggProcess:gEvaluationg
CognitivegLevel:gApplication
CategorygofgNeed:gSafe,gEffectivegCaregEnvironment–ManagementgofgCare
C) #1gandg#2gdescribegmoregadvancedgandginclusivegcriticalgcaregabilities;g#4gisgnotglikelygagal
lgbecausegmostghospitalsghavegsomegcriticalgcaregareas.
NursinggProcess:gEvaluationg
CognitivegLevel:gApplication
CategorygofgNeed:gSafe,gEffectivegCaregEnvironment–ManagementgofgCare
D) #1gandg#2gdescribegmoregadvancedgandginclusivegcriticalgcaregabilities;g#4gisgnotglikelygagal
lgbecausegmostghospitalsghavegsomegcriticalgcaregareas.
NursinggProcess:gEvaluationg
CognitivegLevel:gApplication
CategorygofgNeed:gSafe,gEffectivegCaregEnvironment–ManagementgofgCare

3) Ag nurseg employedg ing ang "open"g ICUg wouldg mostg likelyg beg workingg withg a:
A) Multidisciplinary gteamgwithgphysiciansgwhogaregalsogresponsiblegforgpatientsgongothergunits.
B) Multidisciplinary gteamgthatgincludesgagphysiciangemployedgbygtheghospital.
C) Physiciangingchargegofgpatientgcaregwhogisgagspecialistgingcriticalgcare.
D) Primarygcaregphysiciangwhogmustgconsultgagcriticalgcaregspecialist.
ANSWER:gA
Explanation:g g A)g #2,g #3,g andg #4g referg tog "closed"g ICUs.
NursinggProcess:gEvaluationgCog
nitivegLevel:gAnalysis
CategorygofgNeed:gSafe,gEffectivegCaregEnvironment–ManagementgofgCare
B) #2,g#3,gandg#4grefergtog"closed"gICUs.g
NursinggProcess:gEvaluation
CognitivegLevel:gAnalysis
CategorygofgNeed:gSafe,gEffectivegCaregEnvironment–ManagementgofgCare
C) #2,g#3,gandg#4grefergtog"closed"gICUs.g
NursinggProcess:gEvaluation
CognitivegLevel:gAnalysis
CategorygofgNeed:gSafe,gEffectivegCaregEnvironment–ManagementgofgCare
D) #2,g#3,gandg#4grefergtog"closed"gICUs.g
NursinggProcess:gEvaluation
CognitivegLevel:gAnalysis
CategorygofgNeed:gSafe,gEffectivegCaregEnvironment–ManagementgofgCare



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