Complex Med-Surg Exam 1 QUESTIONS AND ANSWERS 100% CORRECT!
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Course
Complex Med-Surg Exa
Institution
Complex Med-Surg Exa
Standards serve as __________ for clinical practice. They _________ _____ for patient care and provide mechanisms for nurses to _____ the achievement of patient goals - ANSWER guidelines; establish goals; assess
The _________ of patients' illness makes their care the top priority of critical car...
,Complex Med-Surg Exam 1 QUESTIONS
AND ANSWERS 100% CORRECT!
Standards serve as __________ for clinical practice. They _________ _____ for patient
care and provide mechanisms for nurses to _____ the achievement of patient goals -
ANSWER guidelines; establish goals; assess
The _________ of patients' illness makes their care the top priority of critical care
nurses. - ANSWER acuteness
What are two issues that critical care nurses face because of the fast-paced
environment, critical nature of illness, and issues surrounding life and death patients? -
ANSWER Compassion fatigue and Moral distress
3 initiatives that focus on the quality and safety of patient care (preventing errors and
harm) - ANSWER -Joint Commission National Patient Safety Goals
-Institute for Healthcare Improvement
-Quality and Safety Education for Nurses (QSEN)
What has the Joint Commission identified as necessary to be addressed in hospitals,
long-term care facilities, and other agencies that it accredits? - ANSWER National
Patient Safety Goals
How can critical illnesses and the critical care environment affect the patient's family? -
ANSWER It can cause the feelings of:
-uncertainty
-loss of control
-stress
-anxiety
What are the basic patient family needs in the critical care environment? - ANSWER
•Receiving assurance
•Remaining near the patient
•Receiving information
•Being comfortable
•Having support available
(Open visitation is one essential intervention, yet it is controversial.)
, What aspects of the critical care environment contribute to sensory overload? -
ANSWER •Light.
•Noise (PRIMARY).
•Loss of privacy: (Multiple caregivers, Multiple people in and out of unit and room).
•Acutely changing mental status
•Key word: inattention
•Types:
-Hyperactive—agitated, combative, disoriented
-Hypoactive—quiet delirium
-Mixed—fluctuating between the two
•Associated with increased mortality and morbidity - ANSWER Delirium
Risk factors for delirium - ANSWER •Older than 70 years
•Transfer from a nursing home
•History of depression, dementia, stroke
•Alcohol or substance abuse
•Electrolyte imbalance
•Hypothermia or fever
•Renal Failure
•Liver disease
•Cardiogenic or septic shock
•Human Immunodeficiency Virus (HIV) Infection
•Rectal or bladder catheters
•Tube feedings
•Central Venous Catheters
•Malnutrition
•Presence of physical restraints
•Visual or hearing impairment
types of assessments, goals, and drug of choice for delirium - ANSWER •Assessment
-Confusion Assessment Method for the ICU (CAM-ICU)
-Intensive Care Delirium Screening Checklist (ICDSC)
•Goal—keep the patient safe
•Drug of choice—haloperidol
ABCDEF Bundle for Preventing Delirium (" * "= important) - ANSWER •Awakening
•Breathing Coordination***
•Choice of Sedation****
•Delirium monitoring
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