CMSRN
Aortic aneurysm repair - Answer-Repair of a weakened bulging area of the aorta
Aorta is clamped to prevent bleeding while the graft is being placed
At the time of placement, distal peripheral tissues are not perfused
Postoperative nursing care includes an assessment of the pedal pulses every hour for 24 hours
Changes in pulse quality or absent pulses must be reported
Pulses are assessed with a Doppler, if needed, to provide a more objective means of assessment
Which test provides the definitive diagnosis for tuberculosis? - Answer-Sputum culture- if positive for
Mycobacterium tuberculosis
Nursing process - Answer-Assessment
Diagnosis
Planning
Implementation
Evaluation
Standards of clinical nursing practice are directly related to the nursing process
,Steps of evidence based practice - Answer-0. Cultivate a spirit of inquiry.
1. Ask a clinical question in PICOT format.
2. Search for the most relevant evidence.
3. Critically appraise the evidence you gather.
4. Integrate all evidence with your clinical expertise and patient preferences and values.
5. Evaluate the outcomes of practice decisions or changes using evidence.
6. Share the outcomes with others.
Levels of Evidence - Answer-I: Systematic reviews of randomized controlled studies
II: At least one RCT
III: Quasi-experimental studies
IV: Case-control and cohort studies
V: Systematic reviews of descriptive or qualitative studies
VI: Single descriptive or qualitative study
VII: Expert individual authorities or committees
HCAHPS - Answer-Hospital Consumer Assessment of Healthcare Providers and Systems
-communication w/ providers
-communication w/ nurses
-responsiveness
-pain management
-communication about meds
-discharge info
-cleanliness of hospital
-quietness of hospital
, -transition of care
SBAR - Answer-Situation: statement of problem needing addressed
Background: data related to current situation
Assessment: summary of causes, significance, severity of situation
Recommendation: specific actions needed to address the situation
Risk factors for falls - Answer-Age or overall physical condition
Urgency for urinary elimination
High-risk medications or new medication regimen
Surgery, procedures or diagnostic testing leading to impaired mobility (including regional anesthesia)
Environmental hazards such as obstacles including slick or wet floors.
Sepsis - Answer--toxic inflammatory condition arising from the spread of microbes, especially bacteria or
their toxins, from a focus of infection
-bacterial, viral, fungal, parasitic
-local infection overcomes body's local defense mechanisms leading to an inflammatory response
-severe organ dysfunction caused by dysregulated host response to infection
-at risk groups: immunocompromised, chemo, burns, pregnant, chronic illness, HIV/AIDS, elderly,
newborn
Treatment of sepsis - Answer--Timely fluid resuscitation
Aortic aneurysm repair - Answer-Repair of a weakened bulging area of the aorta
Aorta is clamped to prevent bleeding while the graft is being placed
At the time of placement, distal peripheral tissues are not perfused
Postoperative nursing care includes an assessment of the pedal pulses every hour for 24 hours
Changes in pulse quality or absent pulses must be reported
Pulses are assessed with a Doppler, if needed, to provide a more objective means of assessment
Which test provides the definitive diagnosis for tuberculosis? - Answer-Sputum culture- if positive for
Mycobacterium tuberculosis
Nursing process - Answer-Assessment
Diagnosis
Planning
Implementation
Evaluation
Standards of clinical nursing practice are directly related to the nursing process
,Steps of evidence based practice - Answer-0. Cultivate a spirit of inquiry.
1. Ask a clinical question in PICOT format.
2. Search for the most relevant evidence.
3. Critically appraise the evidence you gather.
4. Integrate all evidence with your clinical expertise and patient preferences and values.
5. Evaluate the outcomes of practice decisions or changes using evidence.
6. Share the outcomes with others.
Levels of Evidence - Answer-I: Systematic reviews of randomized controlled studies
II: At least one RCT
III: Quasi-experimental studies
IV: Case-control and cohort studies
V: Systematic reviews of descriptive or qualitative studies
VI: Single descriptive or qualitative study
VII: Expert individual authorities or committees
HCAHPS - Answer-Hospital Consumer Assessment of Healthcare Providers and Systems
-communication w/ providers
-communication w/ nurses
-responsiveness
-pain management
-communication about meds
-discharge info
-cleanliness of hospital
-quietness of hospital
, -transition of care
SBAR - Answer-Situation: statement of problem needing addressed
Background: data related to current situation
Assessment: summary of causes, significance, severity of situation
Recommendation: specific actions needed to address the situation
Risk factors for falls - Answer-Age or overall physical condition
Urgency for urinary elimination
High-risk medications or new medication regimen
Surgery, procedures or diagnostic testing leading to impaired mobility (including regional anesthesia)
Environmental hazards such as obstacles including slick or wet floors.
Sepsis - Answer--toxic inflammatory condition arising from the spread of microbes, especially bacteria or
their toxins, from a focus of infection
-bacterial, viral, fungal, parasitic
-local infection overcomes body's local defense mechanisms leading to an inflammatory response
-severe organ dysfunction caused by dysregulated host response to infection
-at risk groups: immunocompromised, chemo, burns, pregnant, chronic illness, HIV/AIDS, elderly,
newborn
Treatment of sepsis - Answer--Timely fluid resuscitation
