CPSS Final Exam 2024/2025 Questions with 100% Verified Answers

CPSS Final Exam 2024/2025 Questions with 100% Verified Answers "Gauge" refers to: A. Length B. Hub C. Diameter D. Bevel - C. Diameter (TEST?) Wound strength... - 1 week = 20% 4-6 weeks = 60% 2 years = 80% (TQ?) What is the Z-track method used for? - to prevent leakage of irritating (vistaril) and discoloring medication (e.g. iron dextran) into the SQ tissue It may also be used in elderly w/ decreased mm mass A 4 month old pt presents for his vaccinations (IM), what is the perferred location for the injection and what needle length and gauge would you use? - Location: Anteriorlateral thigh Lengh: 5/8 - 1 inch Gauge: 25-27 A systemic approach to wound repair uses the mneumonic "LACERATE", what does it stand for? - *LACERATE* *L*ook at the wound to assess repair options *A*nesthetize the wound *C*lean the wound *E*quipement setup *R*epair the wound *A*ssess results, anticipate complications *T*etanus immunization *E*ducate the pt about wound care A wound infection generally occurs what post-op day? - 5th - 10th postop day A wound infxn 4 days, consider what organisms? - Enteric Aerobes, anaerobes, and staph A wound infxn within the first 12-24 hours, is most likely due to what organisms? - Clostridium or Strepococcal After ABG draw... - apply direct pressure with gauze sponge for 5 minutes (up to 10 minutes if patient is anticoagulated or has a coagulopathy) Do not have the patient apply pressure! After prostatic surgery what size ballon is used? - 30 mL balloon - used to achieve homeostasis Airway Management - .... Ampule.... - Break Glass Use filtered needle 1 dose vial An ampule contains how many dosages of medications A. 1 B. 2 C. 3 D. It depends on the size of the ampule - A. 1 Animal bite... - MCC: Pasturella Multocida TOC: Augmentin (Alt: PCN) HRIG (human rabies immune globulin) and HDCV(human diploid cell vaccine) or RVA (rabies vaccine absorbed) Are corticosteroids injections first line tx? - NO! They are second line, try conservative measures first (e.g. NSAIDS), also continue these measures even after joint injection Are IM deltoid injection, perferred more in infants or adults? - adults used for vaccination in adults Arm - time for removal - 7-10 Aspiration of solid food material, results in what? - Larger bronchial lumen obst At what angle and what location do you insert the needle in a SQ injection? - 45 (up to 90) degree angle in the middle of the roll At what angle do you hold the needle relative to the skin for an ID injection? - 10-15 degrees (bevel up), almost parellel to the skin Injection of substance produces a "wheal/bleb" At what angle should the needle be inserted into the vein for a venipuncture? - 15 30 degrees AVOID trauma and excessive probing At what angle to do you insert the needle for ABGs? - insert needle at *45-60 degrees*, holding syringe like a pencil - watch for arterial blood flow into the needle Bacterial pneumonia secondary to aspiration is MOST COMMONLY due to what? - mixed organisms Before scrubbing you must... - trim nails, clean nails, remove nail polish, remove jewelry/watches Before securing the tube with stiches what do you want to look for? - *respiration related swing* in the fluid level of the water seal device to confirm correct intrathoracic placement Before the syringe is put into the ice for the lab what do you do? - roll and rock the syringe btwn fingers to ensure sample is adequatly mixed and does not clot Then label sample and place in ice Bowel eviseration increases/decreases mortality? - increases it by 10-15% Fistual, Ileus, Intra-abdominal abscess Brachial artery lies in the middle 1/3rd of the antecubital fossa? - Its proximity to basilic vein & median nerve make these structures easy to puncture inadvertently C/I to urethral cath - blood in the meatus Can dextrose solutions such as D5W be used in emergent situations such as hemorrhage? - NO! the body cannot utilize sugar in stress