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Free PDF Quiz AACN - CCRN-Adult - CCRN (Adult) - Direct Care Eligibility Pathway Updated Pdf Dumps
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AACN CCRN-Adult Exam Syllabus Topics:
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Free PDF AACN - CCRN-Adult - CCRN (Adult) - Direct Care Eligibility Pathway Newest Pdf Dumps
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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q666-Q671):
NEW QUESTION # 666
Which of the following methods of preventing aspiration in a patient who is receiving tube feedings is CORRECT?
- A. Use sedatives sparingly
- B. Provide bolus feedings to prevent constant exposure to the feeding solution
- C. Check feeding tube placement with a chest radiograph every 4 hours
- D. Check for gastric residuals at least once in a 12-hour shift
Answer: A
Explanation:
Prevention of aspiration includes using sedatives as sparingly as possible. In addition, maintaining the head of the bed at an elevation of 30-45 degrees, unless contraindicated, will greatly help to reduce the likelihood of aspiration occurring.
Bolus feedings should be avoided, as they increase the risk of aspiration. Gastric residuals should be checked at least once every 8 hours, preferably every 4 hours. While the placement of a feeding tube should be verified every 4 hours, this should not be done with a chest radiograph, as it is not feasible or economical.
NEW QUESTION # 667
Pain in the elderly patient is often reported differently than that of a younger patient due to all of the following changes that accompany aging EXCEPT:
- A. cultural
- B. physiological
- C. social
- D. psychological
Answer: C
Explanation:
Social changes may occur with age, but are not related to pain like other aging related changes.
Psychological, physiologic, and cultural changes occur with aging; some elderly patients may fear loss of control or independence, or may even associate pain with impending death. For these reasons, elderly patients may not report their pain accurately, as if to deny pain is to deny death. It is important for nurses to incorporate behavioral or physiologic indicators of pain into a variety of pain assessment strategies when caring for elderly patients.
NEW QUESTION # 668
A patient has recently undergone surgery for a fracture of the left tibi a. The patient complains of severe pain that is not relieved by analgesics. On examination, you note that the patient's left lower leg is pale. What is the MOST likely explanation of the patient's symptoms?
- A. Compartment syndrome
- B. Cellulitis
- C. Peripheral artery disease
- D. Deep vein thrombosis
Answer: A
Explanation:
Compartment syndrome is characterized by increased pressure within a muscle compartment that can compromise circulation, leading to nerve and muscle damage. Symptoms include severe pain unrelieved by analgesics and pallor. While DVT (Deep vein Thrombosis) could also present with severe pain, it is not typically associated with pallor as it does not inhibit arterial circulation. Cellulitis would present with local warmth and redness. Peripheral artery disease could present with claudication, decreased pulses, and pallor. The patient's recent history, however, suggests that compartment syndrome is more likely.
NEW QUESTION # 669
Which of the following is LEAST LIKELY to be an indicator of infiltration?
- A. Coolness at the IV site
- B. Pain
- C. IV pump alarms
- D. Generalized edema
Answer: D
Explanation:
Infiltration occurs when the distal end of an IV catheter slips from the vein into the surrounding tissues, infusing the IV medication or solution into tissues instead of into the vein. Localized, not generalized edema may occur as fluid accumulates into the tissues. Coolness at the IV site may be noted as the IV solution that is below body temperature accumulates in the tissues. Pain occurs due to stretching as localized edema develops. IV pump alarms may occur as resistance increases due to the slow absorption rate of the tissues.
NEW QUESTION # 670
A patient has been diagnosed with Immune Thrombocytopenia Purpura (ITP). The nurse knows that treatment for this patient may include all of the following EXCEPT:
- A. splenectomy
- B. heparin infusion
- C. intravenous immunoglobulin
- D. steroid therapy
Answer: B
Explanation:
ITP (Immune Thrombocytopenia Purpura) is an autoimmune disorder that results in the destruction of platelets in the spleen and a platelet count of less than 20,000/mm3. ITP was formerly called idiopathic thrombocytopenia but was renamed when it was identified as an immune process.
Treatment options include steroids, intravenous immunoglobulin, and intravenous administration of monoclonal antibody (mAbs) treatment. In some cases, a splenectomy is a necessary treatment option.
NEW QUESTION # 671
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