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N164 Exam 2 Critical Care and Arrhythmia Study Guide with Complete Solutions

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N164 Exam 2 Critical Care and Arrhythmia Study Guide with Complete Solutions California State Law Title 22 dictates that no more than _____ patients may be cared for by one nurse in the _______ (this ratio varies by state). If you have _____ step down patients physically in the ICU, that's oka...

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  • October 6, 2024
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FIRST PUBLISH SEPTEMBER 2024




N164 Exam 2 Critical Care and
Arrhythmia Study Guide with Complete
Solutions

California State Law Title 22 dictates that no more than _____ patients may be cared for by one nurse in

the _______ (this ratio varies by state). If you have _____ step down patients physically in the ICU, that's

okay, but if you have 1 critical care patient, you can only be expected to take on one other patient

(regardless of ICU or step down status). - Answer✔✔-2; ICU; 3


American Association of Critical-Care Nurses (AACN) defines critical-care nurse as a specialty dealing with

human responses to _______-____________ problems, cares for patients with a________ and

u_________ physiologic problems, assesses life-threatening conditions, implements appropriate

interventions, evaluates outcomes, and provides teaching and emotional support to caregiver. ICU

nurses rely more heavily on t________________ as opposed to medical surgical nurses. - Answer✔✔-

life-threatening; acute; unstable; technology


Critical care patients are physiologically unstable requiring advanced monitoring and decision-making.

They are at risk for complications that require f____________ and c________________ monitoring and

assessment. They require p__________________ and advanced biotechnology support. - Answer✔✔-

frequent; continuous; polypharmacy


Critical care nursing:




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1) require in-depth knowledge of anatomy, physiology, pathophysiology, pharmacology and advanced

assessment skills, plus the ability to use advanced technology




2) perform f_____________ assessments




3) monitor physiologic t_______




4) rapidly recognizes and manages complications




5) provided psychological support




6) communicates and collaborates with all healthcare providers and disciplines - Answer✔✔-2) frequent


3) trends


ICU settings include:




1) n____________ (newborn)




2) p___________



Page 2/75

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3) a___________ (specialty ICU: neuro, medical, surgical, cardiac, trauma, burn) - Answer✔✔-1)

neonatal


2) pediatric


3) adult


Typical ICU patient conditions:




1) s_________




2) c________ (MI, cardiomyopathy, surgical)




3) r_________________ distress




4) n_________ (stroke, aneurysm, surgical)




5) t_________




6) m___________ (thyroid crisis, DKA, HHS, drug OD) - Answer✔✔-1) sepsis


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2) cardio


3) respiratory


4) neuro


5) trauma


6) medical


Common ICU patient problems:




1) n_____________ - burns, trauma, sepsis, and other illness produce a h________________ state, so

patients require more c___________ in order to meet healing needs. D__________ should be consulted

for these patients. E__________ feeding is preferred because it provides more calories, but TPN may be

considered if enteral feedings are not an option. However, TPN can be problematic d/t high s________

content and can cause i______________ and secondary d____________, may need to treat with

i_________ to balance.




2) a____________ - important to communicate and comfort the patient (inform and be straightforward

with patient and family). Exhaust n_____________________ options first, but can manage with

b___________________ and r__________ (as last resort - assess frequently).




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