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CHAPTER 15: PULMONARY THERAPEUTIC MANAGEMENT

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Urden: Priorities in Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. A nurse is teaching a nursing student about the modes of volume ventilation. Which statement regarding the assist-control (AC) mode indicates the student understood the information? a. “It delivers gas at preset volume, at a set rate, and in response to the patient’s inspiratory efforts.” b. “It delivers gas at a preset volume, allowing the patient to breathe spontaneously at his or her own volume.” c. ...

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CHAPTER 14: PULMONARY DISORDERS

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Urden: Priorities in Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. A patient has been admitted with severe shortness of breath and pleuritic chest pain. The practitioner suspects the patient may have a pulmonary embolism (PE). Which finding would confirm this diagnosis? a. Low-probability V/Q scan b. Negative pulmonary angiogram c. High-probability V/Q scan d. Absence of vascular markings on the chest radiograph ANS: C A definitive diagnosis of a pulmonary embolism requir...

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CHAPTER 13: PULMONARY CLINICAL ASSESSMENT AND DIAGNOSTIC PROCEDURES

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Urden: Priorities in Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. A patient is admitted with acute respiratory failure secondary to pneumonia. Upon auscultation, the nurse hears creaking, leathery, coarse breath sounds in the lower anterolateral chest area during inspiration and expiration. This finding is indicative of what condition? a. Emphysema b. Atelectasis c. Pulmonary fibrosis d. Pleural effusion ANS: D A pleural friction rub is the result of irritated pleural su...

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Test Bank for Priorities in Critical Care Nursing 8th Edition by Urden {Chapters 06-10}

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Chapter 06: Gerontologic Alterations Chapter 07: Pain and Pain Management Chapter 08: Sedation and Delirium Management Chapter 09: End-of-Life Care Chapter 10: Cardiovascular Clinical Assessment and Diagnostic Procedures

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CHAPTER 07: PAIN AND PAIN MANAGEMENT

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Urden: Priorities in Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. Why use a specific pain intensity scale in the critical care unit? a. It eliminates the subjective component from the assessment. b. It focuses on the objective component of the assessment. c. It provides consistency of assessment and management. d. It provides a way to interpret physiologic indicators. ANS: C Many critical care units use a specific pain intensity scale because a single tool provides consi...

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CHAPTER 06: GERONTOLOGIC ALTERATIONS

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Urden: Priorities in Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. Which sign or symptom can be a normal assessment finding for an older patient? a. Asymptomatic dysrhythmias b. Decreased urine output c. Increased respiratory effort d. Difficulty problem-solving ANS: A The incidence of asymptomatic cardiac dysrhythmias increases in older patients. The most common dysrhythmia is the premature ventricular contraction. Other common types are atrial fibrillation, atrial flutt...

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CHAPTER 10: CARDIOVASCULAR CLINICAL ASSESSMENT AND DIAGNOSTIC PROCEDURES

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Urden: Priorities in Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. Which portion of the ECG is most valuable in diagnosing atrioventricular (AV) conduction disturbances? a. P wave b. QRS complex c. PR interval d. QT interval ANS: C The PR interval is an indicator of atrioventricular nodal function. The P wave represents atrial depolarization. The QRS complex represents ventricular depolarization, corresponding to phase 0 of the ventricular action potential. The QT interv...

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CHAPTER 09: END-OF-LIFE CARE

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Urden: Priorities in Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. A patient was admitted to the critical care unit after having a CVA and 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 practitioner approach to discuss decisions of care and possible DNR status? ...

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Test Bank for Priorities in Critical Care Nursing 8th Edition by Urden {Chapters 01-05}

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Chapter 01: Caring for the Critically Ill Patient Chapter 02: Ethical and Legal Issues Chapter 03: Patient and Family Education Chapter 04: Psychosocial Alterations Chapter 05: Nutritional Alterations

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CHAPTER 08: SEDATION AND DELIRIUM MANAGEMENT

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Urden: Priorities in Critical Care Nursing, 8th 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 is a central alpha-agonist and is recommended for sedation during withdrawal syndrome. PTS: 1 DIF: Cognitive Level: Remembering OBJ: Nursing Process Step: Implementation TOP: Sedation and Delirium Management MSC: NCLEX: Physiological Inte...

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