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N164 Exam 2 Critical Care and Arrhythmia Latest Update
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N164 Exam 2 Critical Care and Arrhythmia Latest UpdateCalifornia State Law Title 22 states that no more than _____ patients can be cared for by
one nurse in the _______ (this ratio is different in every state). If you have _____ step
down patients physically in the ICU, that's ok, but if you have 1 critical care patient, you
can only be expected to take on one other patient (regardless of ICU or step down
status). -Answer 2; ICU; 3
American Association of Critical-Care Nurses AACN defines critical-care nurse as a
specialty dealing with human responses to _______-____________ problems, cares for
patients with a________ and u_________ physiologic problems, assesses life-threatening
conditions, implements appropriate interventions, evaluates outcomes, and provides
teaching and emotional support to caregiver. ICU nurses rely more heavily on
t________________ as opposed to medical surgical nurses. - Answer life-threatening;
acute; unstable; technology
Critical care patients are physiologically unstable requiring advanced monitoring and
decision-making. They are at risk for complications that require f____________ and
c________________ monitoring and assessment. They require p__________________ and
advanced biotechnology support. - Answer frequent; continuous; polypharmacy
Critical care nursing:
1) require in-depth knowledge of anatomy, physiology, pathophysiology, pharmacology
and advanced assessment skills, plus the ability to use advanced technology
2) perform f_____________ assessments
3) monitor physiologic t_______
4) rapidly recognizes and manages complications
,5) provided emotional support
6) communicates and cooperates with all healthcare providers and disciplines - Answer
2) frequent
3) trends
Intensivare settings include:
1) n____________ (newborn)
2) p___________
3) a___________ (specialty ICU: neuro, medical, surgical, cardiac, trauma, burn)- Answer
1) neonatal
2) pediatric
3) adult
Typical ICU patient conditions:
1) s_________
2) c________ (MI, cardiomyopathy, surgical)
3) r_________________ distress
4) n_________ (stroke, aneurysm, surgical)
5) t_________
6) m___________ (thyroid crisis, DKA, HHS, drug OD)- Answer 1) sepsis
,2) cardio
3) respiratory
4) neuro
5) trauma
6) medical
Common ICU patient problems:
1) n_____________ - burns, trauma, sepsis, and other illness produce a h________________
state, so patients require more c___________ in order to meet healing needs. D__________
should be consulted for these patients. E__________ feeding is preferred because it
provides more calories, but TPN may be considered if enteral feedings are not an
option. However, TPN can be problematic d/t high s________ content and can cause
i______________ and secondary d____________, may need to treat with i_________ to
balance. 2) a____________ - important to communicate and comfort the patient-inform
and be straightforward with patient and family. Exhaust n_____________________ options
first but can manage with b___________________ and r__________ (as last resort-assess
frequently).
3) p_______ - should be considered, especially in patients who cannot verbalize pain.
Body language and v______ sig - Answer 1) nutrition; hypermetabolic; calories;
Dietcians; Enteral; sugar; infection; diabetes; insulin
2) anxiety; nonpharmacological; benzodiazepines; restraints
3) pain; vital; propofol; dexmedetomidine;
4) impaired; interpreters; picture; write
5) sensory perception
, 6) caregiver; family
Rapid response team:
1) deliver advanced care by an interprofessional team, including:
a) c__________-c_____ nurse
b) r_______________ therapist
c) c___________-c_____ MD or advanced practice RN
2) provided care to u__________ patients in n___________ care settings
3) has helped reduced mortality in patients - Answer 1) critical care; respiratory; critical
care
2) unstable; noncritical
Transitional care (step down, progressive care unit, or intermediate care):
1) transition between _______ and m_________-s__________ floor or discharge
2) usually ______ patients to one nurse (in California)
3) closely monitored, but less frequently than in the _______ - these patients are more
physiologically stable
4) cheaper environment than in the ICU
5) less ETT - can dislodge easily so most facilities are not comfortable with ETT in step
down units where there are 3 patients per nurse - Answer 1) ICU; medical-surgical
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