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Nurs 425 Exam #1 questions with verified answers/passed
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Nurs 425 Exam #1 questions with verified answers/passed
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Nurs 425 Exam #1 questions withverified answers/passed
Where do we care for patients that require high acuity care? - correct answer ✔✔an ICU, an
intermediate-care unit (IMC), or a medical-surgical acute care unit
Characteristics of a level 1 ICU - correct answer ✔✔comprehensive care for patients with a wide variety
of conditions
Characteristics of a level 2 ICU - correct answer ✔✔comprehensive care for most patients, but not
specific populations ex. neuro, cardiothoracic, trauma
Characteristics of a level 3 ICU - correct answer ✔✔ability to provide initial stabilization for critically ill
patients but are limited in their care for comprehensive patients
physical issues and stressors for the acutely ill patient - correct answer ✔✔-pain
-lack of sleep: cluster your care
psychological issues and stressors for the acutely ill patient - correct answer ✔✔-powerlessness &
helpless ness: patients have no autonomy, they are fed at certain times, we give meds at certain times
etc.
-fear: of the unknown, stress of wondering what is going to happen next. Exacerbated by lack of sleep
and control
-anxiety: reduce this by good communication and involve them in care
list some issues and stressors for the acutely ill patient - correct answer ✔✔-environmental: not in their
own space
-noise
-light
-sensory overload: too much stimuli
,-sensory deprivation: not having their normal touch, family interaction ex. covid patients in isolation
rooms
issues and stressors for families - correct answer ✔✔-high anxiety
-denial
-anger
-remorse
-grief
illness can heighten/reignite family drama or issues
issues and stressors for the nurse - correct answer ✔✔-stressful environment: long hours, short staffed,
the trauma of watching pill ill/ be terminally ill. Technology
-ethical issues: moral distress, being aware of your own morals and separating that from the patient's
wishes
-implementing evidence based practice: nurse are required to keep up with the latest science
How do we help the high acuity patient and family cope? - correct answer ✔✔asses: ask them what they
usally do when things arent going well, how do they usually cope with stress, suggest healthy coping
mechanisms
maintain hope: be careful not to give false reassurance, acknowledge the situation and explain that you
are there for them
true or false: restricted visiting in progressive and intensive care areas are based on science - correct
answer ✔✔false: it is based on tradition and convenience
explain palliative care - correct answer ✔✔managing symptoms and keeping patients comfortable. not
synonymous with end of life care
explain end of life care - correct answer ✔✔•Many critical care patient deaths are preceded by
withholding or withdrawing life sustaining treatments
, what is an advanced directive - correct answer ✔✔a document that lists who the patient wants to make
decisions for them and explains what measures they want to be taken
things to stress if life support is being withdrawn - correct answer ✔✔-care itself is not being withdrawn
-aggressive palliation will be used to keep the patient comfortable
-*time to death is variable*
how do we manage dyspnea at end of life - correct answer ✔✔-opioids : systemic or IV
-oxygen: may not be use to help them phsically, but it may have a psychological effec to calm them down
and manage their breathing
-benzodiazepines: decrease SOB, alleviate anxiety
-bronchodilators ex. albuterol
what is terminal weaning? - correct answer ✔✔-Withdrawal of mechanical ventilation without belief
that patient will maintain respiration
define these end of life ethical principles
autonomy
beneficence
non maleficence
fidelity - correct answer ✔✔-freedom of choice
-promoting good
-do no harm
-keeping promises
cardiac output formula - correct answer ✔✔SV x Hr
normal is 4-8L/min
explain stroke volume - correct answer ✔✔-total amount of blood pumped with each heartbeat
normal
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