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High Acuity Nursing 7th Edition by Kathleen Dorman Wagner, Melanie Hardin-Pierce, Darlene Welsh

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High Acuity Nursing 7th Edition by Kathleen Dorman Wagner, Melanie Hardin-Pierce, Darlene Welsh

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  • August 17, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • high acuity nursing
  • high acuity nursing 7th edition by kathleen dorman
  • high acuity nursing 7th edition

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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

, Pulmonary Artery Machine
Intracranial Pressure
Intra-Aortic balloon pumps
ETC..

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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