Nursing 418 exam 1|35 Questions with Verified Answers,100% CORRECT

Nursing 418 exam 1|35 Questions with Verified Answers Critical care units - CORRECT ANSWER Designed to meet the special needs of acutely and critically ill patients minimum of every 2 hours - CORRECT ANSWER how o ...

Nursing 418 exam 1|35 Questions with Verified Answers Critical care units - CORRECT ANSWER Designed to meet the special needs of acutely and critically ill patients minimum of every 2 hours - CORRECT ANSWER how often are assessments and vital signs done in the CCU? Critical care nursing - CORRECT ANSWER Specialty dealing with human responses to life-threatening problems - AACN definition CCRN - CORRECT ANSWER Adult, pediatric, or neonatal critical care certification CCRN-K (knowledge) - CORRECT ANSWER for adult pediatric and neonatal critical care nurses who do not provide direct care but whose specialized knowledge influences the care delivered to the acute and critically ill patients PCCN - CORRECT ANSWER progressive care certification CCRN-E - CORRECT ANSWER tele ICU certification 1. CMC 2. CSC - CORRECT ANSWER 1. cardiac medicine certification 2. cardiac surgery certification clinical nurse specialist - CORRECT ANSWER Provides advanced nursing care to meet the needs of adult gerontology, pediatric, or neonatal patient populations acute care nurse practitioner - CORRECT ANSWER Comprehensive assessments, orders, and interprets diagnostic test, manages health problems and disease-related symptoms, prescribes treatments, and coordinates care during transitions in settings delirium - CORRECT ANSWER alterations in: - mentation (delusions, short attention span, loss of recent memory) - psychomotor behavior (restlessness, lethargy) - sleep-wake cycle (e.g., daytime sleepiness, nighttime agitation) preexisting dementia hx of baseline hypertension or alcohol abuse severe illness on admission sleep deprivation annxiety hemodynamic instability hypoxemia hypercarbia electrolyte disturbances drugs - sedatives, analgesics, antimicrobials - CORRECT ANSWER delirium risk factors: dementia - CORRECT ANSWER Slow, progressive, irreversible loss of intellectual or cognitive abilities like abstract thinking, reasoning delirium - CORRECT ANSWER patients with dementia are high risk for developing _______ confusion assessment method (CAM) confusion assessment method ICU (CAM-ICU) intensive care delirium screening checklist (ICDSC) - CORRECT ANSWER assessment/diagnosis of delirium (3) D - Dementia, dehydration E - Electrolyte imbalances, emotional stress L - Lung, liver, heart, kidney, brain I - infection, intensive care unit R - rx drugs I - injury U - untreated pain, unfamiliar environment M - metabolic disorders - CORRECT ANSWER mnemonic for causes of delirium: Dexmedetomidine Low-dose antipsychotics (Haloperidol, Risperidone, Olanzapine, Quetiapine) Short acting benzodiazepines - CORRECT ANSWER drug therapy for delirium ICU setting only for agitation associated w/ delirium - CORRECT ANSWER when is dexmedetomidine used? when delirium is associated w/ sedative and alcohol withdrawal or in conjunction w/ antipsychotics to reduce extrapyramidal side effects - CORRECT ANSWER when are short acting benzodiazepines used in r/t delirium? albumin, BUN, glucose, electrolytes - CORRECT ANSWER labs to monitor for nutrition (4) infection (UTIs, electrolyte imbalances) dementia - CORRECT ANSWER Critically Ill Elderly Symptoms atypical Confusion may be sign of ______ Depression often misdiagnosed as ________ RRT - CORRECT ANSWER Bring rapid and immediate care to an unstable patient in noncritical settings prevent patient from coding - CORRECT ANSWER purpose of RRT Critical care RN Critical care physician Advanced practice RN (APRN) Respiratory therapist - CORRECT ANSWER RRT members RR: <8 or >28 O2 Sat: <90% Threatened airway - CORRECT ANSWER RRT triggers: Respiratory RR: ____ or ___ O2 sat: _____ Threatened ______ <90 Increase, >110 <50 or >120 Chest pain - CORRECT ANSWER RRT triggers: Cardiovascular Acute change in systolic BP to _____ Acute sustained ________ in diastolic BP to _______ Acute change in HR to _____ or ______ Onset of ________ Acutely cold, pulseless, or cyanotic extremity Arouse Speaking or swallowing Pupillary - CORRECT ANSWER RRT triggers: Neurological Confusion, agitation, delirium Unexplained difficulty to ______ Difficulty ______ or ______ Changes in ________ responses Seizure 30-45 Sedation Extubate Peptic ulcer DVT - CORRECT ANSWER Ventilator Bundle (VAP) HOB up ______ degrees Take breaks from _____ Daily readiness to _______ ________ prophylaxis ________ prophylaxis ventilator bundle - CORRECT ANSWER VAP bundle central line - CORRECT ANSWER CLABSI bundle Urinary catheter - CORRECT ANSWER CAUTI bundle ABCDE bundle - CORRECT ANSWER Bundle to prevent the unintended consequences of critical illness such as delirium, prolonged ventilation and excessive muscular deterioration Awaken Breathe Choose medication/coordinate care Delirium Early ambulation - CORRECT ANSWER ABCDE bundle A: Awakening trials for ventilated patients B: Spontaneous breathing trials C: Coordinated effort b/t RN and RT to perform the spontaneous breathing trial when patient is awakened by reducing or stopping patient's sedation D: A standardized delirium assessment program, including treatment and prevention options E: Early mobilization and ambulation - CORRECT ANSWER ABCDE bundle (in depth) ST elevation myocardial infarction Stroke alert - CORRECT ANSWER Codes for acute issues: Code STEMI = _______ Code Trauma Code FAST = ________