Understanding-The-Essentials-Of-Critical-Care-Nursing-3rd-Edition

Description

1)Identify who of the following patients suffers from critical illness. A patient:
A) With chronic airflow limitation whose VS are: BP 110/72, P 110, R 16.
B)With acute bronchospasm and whose VS are: BP 100/60, P 124, R 32.
C) Who was involved in a motor vehicle accident whose VS are: BP 124/74, P 74, R 18.
D) On chronic dialysis with no urine output and whose VS are: BP 98/50, P 108, R 12.
Answer:B
Explanation: A) Acute bronchospasm can present a life- threatening situation, which can jeopardize a
patient’s survival. #1, #3, and #4 are examples of non- life- threatening situations.
Nursing Process: Assessment
Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
B)Acute bronchospasm can present a life- threatening situation, which can jeopardize a
patient’s survival. #1, #3, and #4 are examples of non- life- threatening situations.
Nursing Process: Assessment
Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
C) Acute bronchospasm can present a life- threatening situation, which can jeopardize a
patient’s survival. #1, #3, and #4 are examples of non- life- threatening situations.
Nursing Process: Assessment
Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
D) Acute bronchospasm can present a life- threatening situation, which can jeopardize a
patient’s survival. #1, #3, and #4 are examples of non- life- threatening situations.
Nursing Process: Assessment
Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation
2)Of the following patients, who should be cared for in a critical care unit? A patient: (Select all that
apply.)
A) With an acetaminophen overdose
B)Suffering from acute mental illness
C) With chronic renal failure
D) With acute decompensated heart failure
Answer:A, D
Explanation: A) (Note: This requires multiple responses to be correct.)
Critical care units are cost- efficient units for caring for patients with specific organ
system failure. Although the organ failing in #4 is obvious, patients with acetaminophen
overdose often suffer liver failure as a consequence. #2 and #3 present patient concerns
of a noncritical nature.
Nursing Process: Evaluation
Cognitive Level: Analysis
Category of Need: Physiological Integrity–Physiological Adaptation