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NURS 425 EXAM #1 QUESTIONS AND ANSWERS UPDATED
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NURS 425 EXAM #1 QUESTIONS AND ANSWERS UPDATED
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NURS 425 EXAM #1 QUESTIONS AND ANSWERSUPDATED 2024- 2025
Where,do,we,care,for,patients,that,require,high,acuity,care?,ANS,-an,ICU,,an,intermediate-
care,unit,(IMC),,or,a,medical-surgical,acute,care,unit
Characteristics,of,a,level,1,ICU,ANS,-comprehensive,care,for,patients,with,a,wide,variety,of,conditions
Characteristics,of,a,level,2,ICU,ANS,-
comprehensive,care,for,most,patients,,but,not,specific,populations,ex.,neuro,,cardiothoracic,,trauma
Characteristics,of,a,level,3,ICU,ANS,-
ability,to,provide,initial,stabilization,for,critically,ill,patients,but,are,limited,in,their,care,for,comprehensiv
e,patients
physical,issues,and,stressors,for,the,acutely,ill,patient,ANS,--pain
-lack,of,sleep:,cluster,your,care
psychological,issues,and,stressors,for,the,acutely,ill,patient,ANS,--
powerlessness,&,helpless,ness:,patients,have,no,autonomy,,they,are,fed,at,certain,times,,we,give,meds,a
t,certain,times,etc.
-
fear:,of,the,unknown,,stress,of,wondering,what,is,going,to,happen,next.,Exacerbated,by,lack,of,sleep,and
,control
-anxiety:,reduce,this,by,good,communication,and,involve,them,in,care
list,some,issues,and,stressors,for,the,acutely,ill,patient,ANS,--environmental:,not,in,their,own,space
-noise
-light
-sensory,overload:,too,much,stimuli
,-
sensory,deprivation:,not,having,their,normal,touch,,family,interaction,ex.,covid,patients,in,isolation,room
s
issues,and,stressors,for,families,ANS,--high,anxiety
-denial
-anger
-remorse
-grief
illness,can,heighten/reignite,family,drama,or,issues
issues,and,stressors,for,the,nurse,ANS,--
stressful,environment:,long,hours,,short,staffed,,the,trauma,of,watching,pill,ill/,be,terminally,ill.,Technol
ogy
-
ethical,issues:,moral,distress,,being,aware,of,your,own,morals,and,separating,that,from,the,patient's,wis
hes
-implementing,evidence,based,practice:,nurse,are,required,to,keep,up,with,the,latest,science
How,do,we,help,the,high,acuity,patient,and,family,cope?,ANS,-
asses:,ask,them,what,they,usally,do,when,things,arent,going,well,,how,do,they,usually,cope,with,stress,,s
uggest,healthy,coping,mechanisms,
maintain,hope:,be,careful,not,to,give,false,reassurance,,acknowledge,the,situation,and,explain,that,you,a
re,there,for,them
true,or,false:,restricted,visiting,in,progressive,and,intensive,care,areas,are,based,on,science,ANS,-
false:,it,is,based,on,tradition,and,convenience
explain,palliative,care,ANS,-
managing,symptoms,and,keeping,patients,comfortable.,not,synonymous,with,end,of,life,care
explain,end,of,life,care,ANS,-
•Many,critical,care,patient,deaths,are,preceded,by,withholding,or,withdrawing,life,sustaining,treatments
, what,is,an,advanced,directive,ANS,-
a,document,that,lists,who,the,patient,wants,to,make,decisions,for,them,and,explains,what,measures,the
y,want,to,be,taken
things,to,stress,if,life,support,is,being,withdrawn,ANS,--care,itself,is,not,being,withdrawn
-aggressive,palliation,will,be,used,to,keep,the,patient,comfortable
-*time,to,death,is,variable*
how,do,we,manage,dyspnea,at,end,of,life,ANS,--opioids,:,systemic,or,IV
-
oxygen:,may,not,be,use,to,help,them,phsically,,but,it,may,have,a,psychological,effec,to,calm,them,down,
and,manage,their,breathing,
-benzodiazepines:,decrease,SOB,,alleviate,anxiety
-bronchodilators,ex.,albuterol
what,is,terminal,weaning?,ANS,--
Withdrawal,of,mechanical,ventilation,without,belief,that,patient,will,maintain,respiration
define,these,end,of,life,ethical,principles
autonomy
beneficence
non,maleficence
fidelity,ANS,--freedom,of,choice
-promoting,good
-do,no,harm
-keeping,promises
cardiac,output,formula,ANS,-SV,x,Hr
normal,is,4-8L/min
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