Chapter 55 Critical Care

Chapter 55  Critical Care

Complete Chapter Questions And Answers
 

Sample Questions

1.
An acutely ill patient is receiving in the hospital’s critical care unit. In addition to being delirious, the patient is simultaneously exhibiting significant signs of anxiety. The critical care nurse should recognize that this patient has a heightened risk of having what nursing diagnosis?
A)
Risk for Aspiration
B)
Risk for Impaired Skin Integrity
C)
Risk for Injury
D)
Risk for Imbalanced Body Temperature

2.
A patient is being treated in the critical care unit for urosepsis. The patient’s level of consciousness has decreased over the past 12 hours, but the nurse is continuing to conduct regularly scheduled pain assessments in the knowledge that:
A)
Pain is associated with a consequent decrease in renal function.
B)
Pain blunts the patient’s awareness of other important signs and symptoms.
C)
Pain contributes to hyperglycemia and hypoglycemia.
D)
Pain increases the patient’s cardiac workload.

3.
A patient who has been admitted to the intensive care unit (ICU) with extensive burns is conscious but unable to speak due to upper airway trauma. When communicating with this patient, the ICU nurse should adopt which of the following strategies?
A)
Provide brief explanations and directions to the patient.
B)
Ask the patient questions that can be answered with a nod or a shake of the head.
C)
Defer to a friend or family member of the patient when information is needed.
D)
Speak to the patient slowly and with increased volume.

4.
A 70-year-old woman was admitted to the medical unit with a diagnosis of pyelonephritis but failed to respond appreciably to antibiotic therapy. Upon demonstrating warning signs and symptoms of septic shock, the patient has transferred to the intensive care unit for treatment. Recent assessments suggest that the patient’s infection is now beginning to resolve. What types of monitoring and assessment are likely to be required in this patient’s immediate care? Select all that apply.
A)
Peripheral intravenous access
B)
Arterial line access
C)
Pulmonary artery catheterization
D)
Ventricular assist device
E)
Cardiac monitoring

5.
An arterial line has been ordered for a patient who is receiving treatment in the critical care unit. The nurse on the unit should recognize that this patient will benefit from:
A)
Bolus infusion of intravenous solution
B)
Simultaneous administration of more than one antibiotic
C)
Frequent blood pressure monitoring
D)
Serial blood culture samples

Answer Key

1.
C
2.
D
3.
B
4.
A, E
5.
C