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Exam (elaborations)

CCN FINAL Questions and Answers

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CCN FINAL Questions and Answers

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CCN FINAL Questions and Answers
InMtheMmanagementMofMdiabeticMketoacidosisMandMhyperosmolarMhyperglycemicMsyndrom
e,MwhenMisManMintravenousM(IV)MsolutionMthatMcontainsMdextroseMstarted?M-
MAnswerMWhenMtheMbloodMglucoseMreachesM250Mmg/dL



***200Mmg/dl?



AddMdextroseMtoMmaintenanceMIVMsolutionsMonceMserumMglucoseMlevelMreachesM250M
mg/dLMinMDKAMorM300Mmg/dLMinMHHS.



InMhyperosmolarMhyperglycemicMsyndrome,MtheMlaboratoryMresultsMareMsimilarMtoMthose
MofMdiabeticMketoacidosis,MwithMthreeMmajorMexceptions.MWhatMdifferencesMwouldMyou
MexpectMtoMseeMinMpatientsMwithMhyperosmolarMhyperglycemicMsyndrome?M-
MAnswerMHigherMserumMglucose,MhigherMosmolality,MandMnoMketosis



TheMnurseMisMcaringMforMaMburn-
injuredMpatientMwhoMweighsM70Mkg,MandMtheMburnMinjuryMcoversM45%MofMhisMbodyM
surfaceMarea.MTheMnurseMcalculatesMtheMfluidMneedsMforMtheMfirstM24MhoursMafterMa
MburnMinjuryMusingMaMstandardMfluidMresuscitationMformula.MTheMnurseMplansMtoMadmi
nisterMwhatMamountMofMfluidMinMtheMfirstM24Mhours?



4x70x45?MorM2x70x45?M-MAnswerM6300MmL?????



AMdefinitiveMdiagnosisMofMpulmonaryMembolismMcanMbeMmadeMbyM-
MAnswerMpulmonaryMangiogram.



AMpatientMwithMaM60%MburnMinMtheMacuteMphaseMofMtreatmentMdevelopsMaMtenseMa
bdomen,MdecreasingMurineMoutput,Mhypercapnia,MandMhypoxemia.MBasedMonMthisMassess
ment,MtheMnurseManticipatesMinterventionsMtoMevaluateMandMtreatMtheMpatientMforM-
MAnswerMintra-abdominalMhypertension.



TheMpatientMisMadmittedMwithMend-
stageMliverMdisease.MTheMnurseMevaluatesMtheMpatientMforMwhichMofMtheMfollowing?M(
SelectMallMthatMapply.)M-MAnswerMMalnutrition



Ascites

, DisseminatedMintravascularMcoagulation



TheMnurseMisMmanagingMtheMpainMofMaMpatientMwithMburns.MTheMproviderMhasMprescr
ibedMopiatesMtoMbeMgivenMintramuscularly.MTheMnurseMcontactsMtheMproviderMtoMchang
eMtheMprescriptionMtoMintravenousMadministrationMbecauseM-
MAnswerMtissueMedemaMmayMinterfereMwithMdrugMabsorptionMofMinjectableMroutes.



TheMnurseMisMcaringMforMaMpatientMwithManMelectricalMinjury.MTheMnurseMunderstands
MthatMpatientsMwithMelectricalMinjuryMareMatMaMhighMriskMforMacuteMkidneyMinjuryMse
condaryMtoM-MAnswerMreleaseMofMmyoglobinMfromMinjuredMtissues.



TheMnurseMisMcaringMforMaMpatientMinMspinalMshock.MVitalMsignsMincludeMbloodMpressu
reM100/70MmmMHg,MheartMrateM70Mbeats/min,MrespirationsM24Mbreaths/min,MoxygenMs
aturationM95%MonMroomMair,MandManMoralMtemperatureMofM96.8°MF.MWhichMinterventi
onMisMmostMimportantMforMtheMnurseMtoMincludeMinMtheMpatient'sMplanMofMcare?M-
MAnswerM✓MApplicationMofMslowMrewarmingMmeasures



TheMnurseMhasMjustMcompletedManMinfusionMofMaM1000MmLMbolusMofM0.9%MnormalMs
alineMinMaMpatientMwithMsevereMsepsis.MOneMhourMlater,MwhichMlaboratoryMresultMreq
uiresMimmediateMnursingMaction?M-MAnswerM✓MLactateM6Mmmol/L



AMpatientMisMadmittedMtoMtheMcriticalMcareMunitMfollowingMcoronaryMarteryMbypassMsu
rgery.MTwoMhoursMpostoperatively,MtheMnurseMassessesMtheMfollowingMinformation:Mpuls
eMisM120Mbeats/min;MbloodMpressureMisM70/50MmmMHg;MpulmonaryMarteryMdiastolicMp
ressureMisM2MmmMHg;McardiacMoutputMisM4ML/min;MurineMoutputMisM250MmL/hr;Mches
tMdrainageMisM200MmL/hr.MWhatMisMtheMbestMinterpretationMbyMtheMnurse?M-
MAnswerM✓MTheMpatientMisMatMriskMforMdevelopingMhypovolemicMshock.



TheMnurseMisMcaringMforMaMyoungMadultMpatientMadmittedMwithMshock.MTheMnurseMun
derstandsMwhichMassessmentMfindingsMbestMassessMtissueMperfusionMinMaMpatientMinMsh
ock?M(SelectMallMthatMapply.)M-
MAnswerM✓MBloodMpressure✓MLevelMofMconsciousness✓MUrineMoutput



TheMnurseMisMcaringMforMaMpatientMadmittedMtoMtheMcriticalMcareMunitM48MhoursMag
oMwithMaMdiagnosisMofMsevereMsepsis.MAsMpartMofMthisMpatient'sMcareMplan,MwhatMint
erventionMisMmostMimportantMforMtheMnurseMtoMdiscussMwithMtheMmultidisciplinaryMcar
eMteam?M-MAnswerM✓MEnteralMfeedings

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