high acuity nursing 7th edition by kathleen dorman
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Test bank for High Acuity Nursing 7th Edition by Kathleen
Dorman Wagner, Melanie Hardin-Pierce, Darlene Welsh |
9780134459295 | Chapter 1-39 | All Chapters with Answers
and Rationals
Different types of environments in the Critical Care Units? - ANSWER: ED
PACU
ICU
Intermediate/Step Down Units
What is High Acuity Nursing? - ANSWER: A specialty dealing with human responses to life threatening
problems. Its the most intense hands on nursing.
How often do you do something for critical patients? - ANSWER: At least every hour.
Goal of High Acuity Nursing? - ANSWER: Provide high quality holistic care.
What do you do in High Acuity Nursing? - ANSWER: -Analyze critical situations
-Make decisions based on this analysis
-Rapidly intervene to ensure optimal patient outcomes
-Comfortable with uncertainty & patient instability
What kind of patients will you see in high acuity nursing? - ANSWER: -Physiologically unstable
-At risk for serious complications
-Require intense and complicated nursing support and/or the advanced use of technology
What do all patients in high acuity nursing have on them at all times? - ANSWER: EKG Monitor
Common Problems in high acuity settings? - ANSWER: Respiration/Circulation
Nutrition
Anxiety
Pain
Impaired Communication
Sensory Perceptual Impairments
Sleep Deprivation
What can cause anxiety? - ANSWER: Pain.
What should you do when patients have pain related anxiety? - ANSWER: Address the pain to reduce
the anxiety because it can cause other physiological problems.
Sleep deprivation can cause __________ and how to prevent it? - ANSWER: Can cause psychosis!
Ensure to keep the lights down and the noise as minimal as possible.
What kind of monitoring devices will be used in the high acuity nursing setting? - ANSWER: ECG
O2 Sat
Arterial Lines
Ventilators
CVC's
Central Venous Pressure
What 6 things does your beside monitor tell you? - ANSWER: EKG
Heart Rate
Blood Pressure
Arterial Pressure
O2 Saturation
Respiration Rate
The arterial line on the monitor is always what color and why? - ANSWER: Arterial line is red because
it is always in an artery.
Central Venous line is usual what color but could be another? - ANSWER: Usually yellow but could be
blue.
When you have to transport a patient on a "road trip," what must there always be with the patient? -
ANSWER: Portable Vitals Monitor.
Where do they do dialysis in high acuity? - ANSWER: At the bedside.
Two types of Hemodynamic Monitoring? - ANSWER: Arterial Line
Central Line
What is an Arterial Line? - ANSWER: For arterial blood pressure monitoring
What is a Central Venous Catheter? - ANSWER: For central venous pressure monitoring
Where are CVC's usually placed in the heart? - ANSWER: Superior Vena Cava.
What does a transducer do? - ANSWER: Sensor takes the blood out into equipment that sends that
information to the monitor.
3 Types of CVC's - ANSWER: PICC
Subclavian
Jugular
Where is an arterial line usually placed? - ANSWER: Radial Artery
What is usually hung in the pressure bag? - ANSWER: Normal Saline
Occasionally Heparinized Solution
What is the purpose of an Arterial Line Pressure Bag is for? - ANSWER: Greater pressure has to be
outside or the blood will back flow (22 min on rec 1)
Why is it so important that the transducer is in the right place? - ANSWER: Because it has to be at a
certain level to give off the correct reading.
How to know if the transducer is in the correct place? - ANSWER: Little bubble and ruler is even with
the transducer in the phlebostatic axis.
Where is the Phlebostatic Axis? - ANSWER: 4th intercostal space at the midway point of the anterior-
posterior diameter of the chest wall.
Between the right and the left atrium of the heart.
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