Critical Care Nursing Cardiac Questions

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Critical Care Nursing Cardiac Questions Questions

Question 1 of 5

A new nurse has recently joined the ICU from a different hospital, which had a much stricter policy regarding visiting hours. She expresses concern about the impact of open visiting hours on patient well-being. Which of the following would be the best explanation for the purpose of open visiting hours? Select all that apply.

Correct Answer: B

Rationale: The correct answer is B: To strengthen the relationship between the family and health care provider. Rationale: 1. Open visiting hours encourage family involvement in care, fostering a partnership between healthcare providers and families. 2. Family support can positively impact patient outcomes and satisfaction. 3. It allows families to be updated on the patient's condition and involved in decision-making. 4. Strengthening the relationship can lead to better communication and trust between all parties. Summary of Incorrect Choices: A: Open visiting hours may disrupt rest and quiet, but the primary purpose is not to provide rest. C: Open visiting hours do not aim to control the number of visitors but rather encourage family involvement. D: While open visiting hours may not provide an entirely undisturbed environment, the focus is on improving family-provider relationships.

Question 2 of 5

The nurse is caring for a patient who has an intra-aortic balloon pump (IABP) following a massive heart attack. When assessing the patient, the nurse notices blood backing up into the IABP catheter. In which order should the nurse take the following actions?

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Ensuring the IABP console is turned off is crucial to prevent further complications and stop potential harm to the patient. 2. By turning off the IABP console, the nurse can halt the pumping action, allowing assessment of the situation without interference. 3. This action takes priority over other steps as it addresses the immediate issue of blood backing up into the IABP catheter. 4. Once the console is turned off, the nurse can proceed with assessing the patient's vital signs, notifying the healthcare provider, and obtaining supplies if needed. Summary of Incorrect Choices: - Option B: Assessing vital signs and orientation is important, but addressing the malfunction of the IABP takes precedence to prevent harm. - Option C: Notifying the healthcare provider is necessary, but first, the immediate issue of blood backing up into the catheter must be addressed. - Option D: Obtaining supplies for a new catheter is premature without first addressing

Question 3 of 5

The nurse is caring for a critically ill trauma patient who is expected to be hospitalized for an extended period of time. Which of the following nursing interventions would improve the patient�s well-being and reduce anxiety the most?

Correct Answer: B

Rationale: The correct answer is B because pet therapy has been shown to reduce anxiety and improve well-being in hospitalized patients. Interacting with therapy dogs can provide comfort, companionship, and a distraction from the hospital environment. Bringing in a therapy dog can help the trauma patient feel more relaxed and supported during their extended hospital stay. Choice A may be comforting but does not address the therapeutic benefits of pet therapy. Choice C may provide soothing music, but pet therapy has been specifically proven to reduce anxiety in patients. Choice D, observing fish in an aquarium, may be calming but does not involve the interactive benefits of pet therapy.

Question 4 of 5

The family members of a patient who has just been admitted to the intensive care unit (ICU) with multiple traumatic injuries have just arrived in the ICU waiting room. Which action should the nurse take next?

Correct Answer: A

Rationale: The correct answer is A: Explain ICU visitation policies and encourage family visits. This is the best course of action because it prioritizes the needs of the family members by providing them with information on visitation policies and encouraging them to visit the patient. This helps establish communication, support, and involvement in the patient's care. It also respects the family's emotional needs during a challenging time. Choices B, C, and D are incorrect: B: Immediately taking the family members to the patient's bedside may overwhelm them and disrupt the patient's care. C: Describing the patient's injuries and care being provided should be done in a more controlled environment to ensure the family's understanding and emotional readiness. D: Inviting the family to a multidisciplinary care conference may be premature without first addressing their immediate concerns and providing support.

Question 5 of 5

A patient in the ICU is recovering from open-heart surgery. The nurse enters his room and observes that his daughter is performing effleurage on his arms and talking in a low voice about an upcoming family vacation that is planned. The room is dimly lit, and she hears the constant beeping of his heart monitor. From the hall she hears the cries of a patient in pain. Which of the following are likely stressors for the patient? Select all that apply.

Correct Answer: C

Rationale: The correct answer is C: The beeping of the heart monitor is a likely stressor for the patient recovering from open-heart surgery in the ICU. The constant beeping can cause anxiety and uncertainty about their health status. The daughter's conversation and effleurage are likely comforting and supportive for the patient, reducing stress. The dim lighting may create a calming environment, and the distant cries of a patient in pain may evoke empathy but may not directly stress the recovering patient. Therefore, the beeping of the heart monitor stands out as a stressor among the choices provided.

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