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, table of contents
part i: fundamental concepts .................................................................. 3
chapter 01: overview of critical care nursing............................................................................................ 3
chapter 02: patient and family response to the critical care experience ............................................... 20
chapter 03: ethical and legal issues in critical care nursing .................................................................... 42
chapter 04: palliative and end-of-life care.............................................................................................. 58
chapter 05: organ donation .................................................................................................................... 77
chapter 06: comfort and sedation ........................................................................................................ 102
part ii tools for the critical care nurse ................................................. 119
chapter 07: nutritional therapy ............................................................................................................ 119
chapter 08: dysrhythmia interpretation and management .................................................................. 138
chapter 09: hemodynamic monitoring ................................................................................................. 184
chapter 10: ventilatory assistance ........................................................................................................ 212
chapter 11: rapid response teams and code management .................................................................. 237
part iii: nursing care during critical illness ........................................... 257
chapter 12: shock, sepsis, and multiple organ dysfunction syndrome................................................. 257
chapter 13: cardiovascular alterations ................................................................................................. 283
chapter 14: nervous system alterations ............................................................................................... 308
chapter 15: acute respiratory failure .................................................................................................... 333
chapter 16: acute kidney injury ............................................................................................................ 356
chapter 17: hematological and immune disorders ............................................................................... 393
chapter 18: gastrointestinal alterations ............................................................................................... 435
chapter 19: endocrine alterations ........................................................................................................ 473
chapter 20: trauma and surgical management..................................................................................... 501
chapter 21: burns .................................................................................................................................. 523
,Part i: fundamental concepts
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 care medicine
ANS: 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
multiprofessional critical care team under the direction of an intensivist.
Dif: cognitive level: knowledge ref: p. 4
Obj: discuss the purposes and functions of the professional organizations that support critical care
practice. Top: nursing process step: n/a
Msc: 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
ANS: 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.
Dif: cognitive level: application ref: p. 5
Obj: explain certification options for critical care nurses. Top: nursing process step: n/a msc: 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.
ANS: 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.