, Table of Contents
Table of Contents 2
Chapter 01: Overview of Critical Care Nursing 3
Chapter 02: Patient and Family Response to the Critical Care Experience 15
Chapter 03: Ethical and Legal Issues in Critical Care Nursing 30
Chapter 04: Palliative and End-of-Life Care 42
Chapter 05: Comfort and Sedation 56
Chapter 06: Nutritional Therapy 69
Chapter 07: Dysrhythmia Interpretation and Management 83
Chapter 08: Hemodynamic Monitoring 117
Chapter 09: Ventilator Assistance 137
Chapter 10: Rapid Response Teams and Code Management 156
Chapter 11: Organ Donation 171
Chapter 12: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome 189
Chapter 13: Cardiovascular Alterations 207
Chapter 14: Nervous System Alterations 225
Chapter 15: Acute Respiratory Failure 243
Chapter 16: Acute Kidney Injury 260
Chapter 17: Gastrointestinal Alterations 285
Chapter 17: Hematological and Immune Disorders 312
Chapter 19: Endocrine Alterations 341
Chapter 20: Trauma and Surgical Management 361
Chapter 21: Burns 379
,Chapter 01: Overview Of Critical Care Nursing
MULTIPLE CHOICE
1. 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 CareMedicine
ANSWER: A
The American Association Of Critical-Care Nurses Is The Specialty Organization That Supports And
Represents Critical Care Nurses. The American Heart Association Supports Cardiovascular Initiatives. The
American Nurses Association Supports All Nurses. The Society Of Critical Care Medicine Represents The Multi
Professional Critical Care Team Under The Direction Of An Intensivist.
DIFFICULTY: COGNITIVE LEVEL: Knowledge REFER TO: PAGE; 4
OBJECTIVE: Discuss The Purposes And Functions Of The Professional Organizations That Support Critical Care
Practice.TOPIC: NURSING PROCESS STEP: N/A
MED SC: NCLEX: Safe And Effective Care Environment
2. 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 Her To Seek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANSWER: C
The CCRN Certification Is Appropriate For Nurses In Bedside Practice Who Care For Critically Ill
Patients. The ACNPC Certification Is For Acute Care Nurse Practitioners. The CCNS Certification Is For
Critical Care Clinical Nurse Specialists. The PCCN Certification Is For Staff Nurses Working In Progressive
Care, Intermediate Care, Or Step-Down Unit Settings.
DIFFICULTY: COGNITIVE LEVEL: Application REFER TO: PAGE; 5
OBJECTIVE: Explain Certification Options For Critical Care Nurses. TOPIC:
NURSING PROCESS STEP: N/AMED SC: NCLEX: Safe And Effective Care
Environment
, 3. The Main Purpose Of Certification Is To:
a. Assure The Consumer That You Will Not Make A Mistake.
b. Prepare For Graduate School.
c. Promote Magnet Status For Your Facility.
d. Validate Knowledge Of Critical Care Nursing.
ANSWER: D
Certification Assists In Validating Knowledge Of The Field, Promotes Excellence In The Profession, And
Helps Nurses To Maintain Their Knowledge Of Critical Care Nursing. Certification Helps To Assure The
Consumer That The Nurse Has A Minimum Level Of Knowledge; However, It Does Not Ensure That Care
Will Be Mistake-Free.
Certification Does Not Prepare One For Graduate School; However, Achieving Certification Demonstrates
Motivation For Achievement And Professionalism. Magnet Facilities Are Rated On The Number Of Certified
Nurses; However, That Is Not The Purpose Of Certification.
DIFFICULTY: COGNITIVE LEVEL: Analysis REFER TO: Ppage; 4-5
OBJECTIVE: Explain Certification Options For Critical Care Nurses. TOPIC:
NURSINGPROCESS STEP: N/AMED SC: NCLEX: Safe And Effective Care
Environment
4. The Synergy Model Of Practice Focuses On:
a. Allowing Unrestricted Visiting For The Patient 24 Hours Each Day.
b. Holistic And Alternative Therapies.
c. Needs Of Patients And Their Families, Which Drives Nursing Competency.
d. Patients Needs For Energy And Support.
ANSWER: C
The Synergy Model Of Practice States That The Needs Of Patients And Families Influence And Drive
Competencies Of Nurses. Nursing Practice Based On The Synergy Model Would Involve Tailored Visiting To
Meet The Patients And Familys Needs And Application Of Alternative Therapies If Desired By The Patient, But
That Is Not The Primary Focus Of The Model.
OBJECTIVE: Describe Standards Of Professional Practice For Critical Care Nursing.
TOPIC: NURSING PROCESS STEP: N/A MED SC: NCLEX: Safe And Effective Care Environment
5. The Family Of Your Critically Ill Patient Tells You That They Have Not Spoken With The Physician In
Over 24 Hours And They Have Some Questions That They Want Clarified. During Morning Rounds, You
Convey This Concern To The Attending Intensivist And Arrange For Her To Meet With The Family At 4:00
PM In The Conference Room. Which Competency Of Critical Care Nursing Does This Represent?
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