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NURS 480 Q1 Exam With Verified Solution
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NURS 480 Q1 Exam With Verified Solution ...
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NURS 480 Q1 Exam With Verified Solution 2024-2025CC nurse - ANSWER -specialty dealing with human responses to life-threatening
problems
-care for pts with acute and unstable physiologic problems, and their caregivers
-assess life-threatening conditions, initiating, approp interventions, evaluate outcomes
of interventions, provide education and emotional support to caregivers
-Frequent assessments to monitor trends in the pt's physiological parameters
CC patient - ANSWER 1) physiologically unstable
2) pt @ risk for serious complications & require frequent assessments and often
invasive interventions
3) pt may require intensive & complicated nursing support r/t use of IV polypharmacy &
advanced technology
Intermediate care - ANSWER AKA PCU/STEP-DOWN UNITS
-Provide a TRANSITION bw the ICU and general care unit/discharge
-@ risk for serious complications, but their risk is lower than ICU pts
-ie pts scheduled for cardiac procedures, awaiting heart transplants, receiving
vasoactive IV drugs, weaning off mech ventilation
Emergency nursing - ANSWER -Identification of life-threatening illness or injury = MOST
important priority
-Implementing interventions to reverse/prevent a crisis is often a priority before a med
, dx
Rapid Response Team - when to call? - ANSWER -BEFORE injury, resp arrest, or cardiac
arrest occurs
-when a client displays signs of a rapid decline
Rapid Response Team - who? - ANSWER -CC nurse
-RT
-CC physician
-Advanced practice RN
Rapid Response Team-what will they do? -ANSWER -Provides rapid/ immediate care to
*unstable pts in noncritical care units*
-Provides early recognition/response prior to a resp/cardiac arrest or stroke occurring
Rapid Response Team-YOUR role? -ANSWER -SBAR comm techniques are utilized for
contacting team and documentation of event
-Discuss information to identify system failures
-Implement follow-up, education and dissemination of information for the participants
after call
Rapid Response Team - examples? - ANSWER -Heart rate > 140/min or < 40/min
Respiratory rate > 28/min or < 8/min
Systolic blood pressure > 180 mmHg or < 90 mmHg
Oxygen saturation < 90% despite O2 supplementation, deep breathing and coughing
efforts, etc.
Acute change in mental status
Urine output < 50 cc over 4 hours
Staff, family, or visitor has significant concern about the patient's condition
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