Definitions
Nursing that involves caring for acutely ill adults who have complex disorders and require multiple medical or surgical treatment.
High acuity nursing.
Which of the following are symptoms or manifestations of COPD (select all that apply):
a) O2 sat of 98%
b) crackles
c) clubbing of nails
d) hair loss
e) cap refill >2 seconds
f) SOB
g) nocturia
h) chronic cough
i) wheezing
j) flail chest
b, c, e, f, h, i
A nurse is caring for a patient. He is in Schuman's stage of "awareness". During this stage:
a) the patient begins to act upon their control.
b) the patient assumes the "sick role" and will begin to seek help.
c) the patient may go through a psychosocial crisis, and the nurse needs to be consistent and available to the patient in order to decrease anxiety, vulnerability, and fear.
d) b and c
d) b and c
High acuity nursing looks at the first 24 hours (phase 1), recovery or diagnosis (phase 2), and rehabilitative (phase 3). These patients always have the potential to become unstable.
True.
Jack Schusten has been unstable for 24 hours and is now on life support. Which ward should he be in: high acuity, or critical acuity? Which RN will care for him: any RN can care for him, or an RN with specific certification in the ward he is in?
Critical acuity; an RN with certification in critical acuity.
WHO defines this as "actions aimed at contributing to improved health or to the diagnosis, treatment, and rehabilitation of sick people. It also involves responding to immediate and life-threatening conditions.
Acute care.
A patient is having trouble breathing while laying down. This is a symptom of and issue with which part of oxygenation?
a) ventilation
b) diffusion
c) perfusion
a) ventilation
The PASS score is a way to prioritize nursing care. PASS stands for:
a) patient availability system standard
b) patient assessment scoring system
c) person assessment standardized system
d) patients are so sick
b) patient assessment scoring system
In a med-surg unit, there must be 1 RN to 5 patients in paediatrics and adult care.
False. 1 RN to 5 patients in adult care; 1 RN to 4 patients in paediatrics.
A nurse on a med-surg unit is experiencing moral distress. Some common causes of moral distress include (select all that apply):
a) poor quality or futile care
b) a healthy work environmnet
c) unsuccessful advocacy
d) conflicting beliefs
e) raising unrealistic hope
f) hurting your back when ambulating a patient
a, c, d, e
An example of an issue with diffusion of oxygen is asthma. What does diffusion mean, and where does it take place?
Diffusion is the movement of gas over the alveolar membrane - from the alveolar sac into the blood vessels that surround it. Diffusion occurs in the alveoli.
There are 2 types of cells in the epithelial layer of the alvoelis. Type 1 do not regenerate and are non-functional; type 2 secrete surfactant that lines the wall of the alveoli to reduce surface tension and make it flexible. T2 also secrete macrophages.
True. Very premature babies do not have this surfactant, so the lungs collapse.
A nurse arrives to the unit for her shift. She is looking after 4 patients. They have PASS scores of 2, 4, 5, and 7. Which patient is the priority, and how soon should a physician come to assess them?
Patient with PASS score 7. Physician is notified immediately and should come to the unit within 15 minutes.