Questions and Answers
What is the primary focus of critical nursing care?
Which competency emphasizes ethical practices in nursing?
What is a key characteristic of caring practices in nursing for critically ill patients?
Which heart side is primarily affected by changes in blood volume?
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What does electrical depolarization in the heart lead to?
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Why is it important for nurses to engage in clinical inquiry and innovation?
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What is the usual volume of fluid found in the pericardial space?
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How should nurses respond to patient diversity according to the competencies outlined?
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Study Notes
Critical Nursing Care
- Focuses on human responses to life-threatening issues, emphasizing a holistic approach.
- Prioritizes communication and updates for patients and their families regarding illness.
- Incorporates both prevention through health education and treatment.
Competencies of Nurses Caring for the Critically Ill
- Clinical judgment and reasoning skills are essential for decision-making in emergencies.
- Advocacy and moral agency help in identifying and resolving ethical dilemmas in patient care.
- Tailored caring practices recognize the unique needs of patients and their families.
- Collaboration with patients, families, and healthcare teams fosters comprehensive care.
- Systems thinking enhances holistic nursing by addressing both physiological and psychological needs.
- Response to diversity ensures personalized care strategies for varying patient backgrounds.
- Acts as a facilitator of learning for patients, families, healthcare teams, and the community.
- Encouragement of clinical inquiry and innovation is vital for optimal patient outcomes; staying updated on best practices, e.g., awareness of changes such as the cessation of saline flushing in ET tubes to avoid infection risks.
Cardiovascular System
- The right side of the heart is volume-oriented; changes in blood volume significantly affect its function (e.g., hypo or hypervolemia).
- Normal pericardial space contains 15-20 ml of fluid, vital for heart function.
- The left side of the heart is pressure-oriented; high blood pressure leads to increased arterial pressure.
Cardiac Conduction System
- The sequence of cardiac signals: SA node → AV node → AV bundle (Bundle of His) → left and right bundle branches → Purkinje fibers.
- Depolarization (electrical signal) initiates contraction (mechanical action); the electrical event always precedes the mechanical action.
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Description
This quiz delves into the essential competencies required for nurses caring for critically ill patients. It emphasizes the importance of clinical judgment, advocacy, and personalized care in addressing the needs of both patients and their families. Test your knowledge on the holistic approach to nursing in life-threatening situations.
