Critical care nursing Samenvattingen, Notities en Examens

Critical Care Exam 1 Latest l Assessments - ANS DO YOUR OWN Every 4 hours in CC units w/ full neuro ALOC q1h Pain q2h w/ VS * VS q1h if on vasoactive, antidysrhythmic or inotrope medications Tele @ all times * Document rhythm @ time of assessment * Print & analyze strip qshift Manual BP qshift, if Art line present RASS/CAM ICU assess qshift * RASS more frequent if patient sedated NG/OG check q4h w/ residuals Rapid Response - ANS Sudden deteriorati...

Which of the following nursing diagnoses would be appropriate for a client with heart failure? Select all that apply. A Ineffective tissue perfusion related to decreased peripheral blood flow secondary to decreased cardiac output. B Activity intolerance related to increased cardiac output. C Decreased cardiac output related to structural and functional changes. D Impaired gas exchange related to decreased sympathetic nervous system activity. - ANS A, D HF is a result of structural...

Designed for efficient, lifesaving interventions The critical care unit is designed to save lives. Patients and families often have little advance preparation for the environment: Stress, Anxiety **The technology and environment contribute to the stress of the patient and family members. - ANS Critical Care Environment Light, Noise Many aspects of the critical care environment contribute to sensory overload; **noise is the primary factor.** Sensory deprivation can also occur despi...

Certification in critical care nursing by the American Association of Critical Care Nurses indicates that a nurse: earned a master's degree in the field of providing advanced critical care nursing. an advanced practice nurse in the care of acutely ill patients. practice independently to provide symptom management for the critically ill. practiced in critical care and successfully completed a test of critical care knowledge. - ANS 4. has practiced in critical care and successf...

When administering nitroglycerin, which possible outcome does the nurse need to monitor the patient for? A. Peripheral vasoconstriction with tissue necrosis B. Increased afterload C. Peripheral vasodilation D. Increased preload - ANS C. peripheral vasodilation A patient is admitted to the ICU with a pulmonary artery (PA) catheter in the left internal jugular. During the nurse's shift, the PA pressure increases. What additional priority assessment does the nurse need to perform ne...

P wave - ANS Depolarization of the atria PR interval - ANS -Normal is 0.12 to 0.2 seconds - onset of atrial depolarization until onset of ventricular polarization QRS complex - ANS -Normal is 0.06 to 0.11 seconds -Ventricular depolarization -systole T wave - ANS -appears after QRS complex - Ventricular repolarization -Spiked T-wave occurs with hyperkalemia U wave - ANS - repolarization of the purkinje fibers - seen in patients with hypokalemia S...

You have just received change of shift report. Which patient should you assess first? a. 62 year-old man who is scheduled for a cardiac cath, and is ready to be transported now b. 58 year-old woman with COPD with an O2 saturation of 92% on 2 liters of O2, who is scheduled to be discharged home on O2 c. 36 year-old man admitted with an exacerbation of asthma with RR 36 at rest, and whose wheezing has diminished d. 72 year-old woman with history of asthma with HR 90 and is due for her beta-blo...

Which of the following professional organizations best supports critical care nursing practice? a. American Association of Critical-Care Nurses b. American Heart Association c. American Nurses Association d. Society of Critical Care Medicine - ANS a. American Association of Critical-Care Nurses A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is interested in certification. Which credential would be most applicable for the nurse to seek? ...

EXAM 1 CRITICAL CARE QUESTIONS WITH VERIFIED ANSWERS Palliative care vs hospice Hospice: 6 months left to live Palliative: dec. symptoms, improve life quality DNR – patient’s choice to not be resuscitated. Must be in patient’s chart ● takes 2 nurses to write DNR order ● Orange card to verify DNR outside hospital Advanced Directive – medical wishes End of Life Care: HCP explains current health state/procedures done and let’s the family make the final decision. ● Allows ...