CRITICAL CARE NURSING

CHAPTER 09: SEDATION, AGITATION, AND DELIRIUM MANAGEMENT Urden: Critical Care Nursing, 9th Edition MULTIPLE CHOICE 1. Which medication is used for sedation in patients experiencing withdrawal syndrome? a. Dexmedetomidine b. Hydromorphone c. Diazepam d. Clonidine ANS: D Clonidine (often prescribed as a Catapres patch) is a central α-agonist and is recommended for sedation during withdrawal syndrome. PTS: 1 DIF: Cognitive Level: Remembering REF: p. 140 OBJ: Nursing Process ...

CHAPTER 12: CARDIOVASCULAR CLINICAL ASSESSMENT Urden: Critical Care Nursing, 9th Edition MULTIPLE CHOICE 1. What sounds are created by the turbulence of blood flow through a vessel caused by constriction of the blood pressure cuff? a. Korotkoff sounds b. Grating murmurs c. Blowing murmurs d. Gallops ANS: A Korotkoff sounds are the sounds created by turbulence of blood flow within a vessel caused by constriction of the blood pressure cuff. Abnormal heart sounds are known as the t...

CHAPTER 11: CARDIOVASCULAR ANATOMY AND PHYSIOLOGY Urden: Critical Care Nursing, 9th Edition MULTIPLE CHOICE 1. Depolarization of one myocardial cell will likely result in what physiologic response? a. Completion of the action potential in that cell before a new cell can accept an impulse b. Quick depolarization and spread to all of the heart c. Depolarization of only cells superior to the initial depolarization d. Quick depolarization of only cells inferior to the initial depolarizati...

CHAPTER 10: END-OF-LIFE CARE Urden: Critical Care Nursing, 9th Edition MULTIPLE CHOICE 1. A patient was admitted to the critical care unit after having a cerebrovascular accident (CVA) and myocardial infarction (MI). The patient has poor activity tolerance, falls in and out of consciousness, and has poor verbal skills. The patient has been resuscitated four times in the past 6 hours. The patient does not have advance directives. Family members are at the bedside. Who should the practition...

CHAPTER 06: PSYCHOSOCIAL AND SPIRITUAL ALTERATIONS AND MANAGEMENT Urden: Critical Care Nursing, 9th Edition MULTIPLE CHOICE 1. A patient is in the critical care unit having undergone surgery a week ago for multiple fractures to the legs secondary to a fall from a rooftop. The patient refuses to participate in morning care activities such as brushing his own teeth or washing his face and hands. The patient yells at the nurse, “You do it! Can’t you see that my legs are broken?” What p...

CHAPTER 05: PATIENT AND FAMILY EDUCATION Urden: Critical Care Nursing, 9th Edition MULTIPLE CHOICE 1. What are the three learning domains to be considered when developing an individualized education plan? a. Knowledge, ability, and willingness to learn b. Psychologic, skills, and knowledge c. Knowledge, skills, and attitude d. Skills, attitude, and psychologic ANS: C Three learning domains are considered when developing an individualized education plan: knowledge, attitude, and ...

CHAPTER 08: PAIN AND PAIN MANAGEMENT Urden: Critical Care Nursing, 9th Edition MULTIPLE CHOICE 1. Which statement accurately describes the duration of acute pain? a. Acute pain is associated with the injury to the joints and lasts about 9 months. b. Acute pain is associated with the healing process and should not exceed 6 months. c. Acute pain is persistent pain of more than 6 months after the healing process. d. Acute pain is associated with damage to the nervous system and is of inf...

CHAPTER 07: NUTRITION ALTERATIONS AND MANAGEMENT Urden: Critical Care Nursing, 9th Edition MULTIPLE CHOICE 1. What is the rationale for careful intake and output for patients with pulmonary alterations? a. Fluid retention occurs with tachypnea. b. Hemodilution may cause deleterious hypernatremia. c. Fluid volume excess can lead to right-sided heart failure. d. Excessive fluid losses may lead to dehydration and hypovolemic shock. ANS: C Pulmonary edema and failure of the right si...

CHAPTER 02: ETHICAL ISSUES Urden: Critical Care Nursing, 9th Edition MULTIPLE CHOICE 1. Which statement regarding the Code of Ethics for Nursing is accurate? a. The Code of Ethics for Nurses is usurped by state or federal laws. b. It allows the nurse to focus on the good of society rather than the uniqueness of the patient. c. The Code of Ethics for Nurses was recently adopted by the American Nurses Association. d. It provides society with a set of expectations of the nursing professi...

CHAPTER 01: CRITICAL CARE NURSING PRACTICE Urden: Critical Care Nursing, 9th Edition MULTIPLE CHOICE 1. Prayer, guided imagery, and massage are all examples of what type of treatment? a. Alternative therapy b. Holistic care c. Complementary care d. Individualized care ANS: C The term complementary was proposed to describe therapies that can be used to complement or support conventional treatments. Spirituality, prayer, guided imagery, massage, and animal-assisted therapy are all...