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PCCN practice exam note

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PCCN practice exam note

Institution
PCCN Practice
Course
PCCN practice

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1 of 51

Term



76-year-old patient is receiving gentamicin and linezolid for an
infection. Which of the following potential complications is the most
important for the nurse to monitor this patient for?
A. Acute delirium
B. Acute kidney injury
C. Acute hepatic failure
D. Sepsis



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D.


Older patients are at increased risk for delirium during acute hospitalization.
Interventions to manage acute delirium include removing or camouflaging tubes,
removing unnecessary equipment, frequently reorienting the patient, and
ensuring that the call bell is consistently within reach, assessing and treating pain
effectively, and encouraging mobility and involvement in activities of daily living.
Restraining the patient is contraindicated in the care of patients with delirium.

, B.


Gentamicin is a nephrotoxic agent that places patients at risk for acute
kidney injury, and this risk is increased in older patients. Acute delirium (A),
liver failure (C), and sepsis (D) are all complications that could occur in an
older adult with an infection but would not be caused by the administration
of an antibiotic.




c.

it would be reciprocal changes if there is ST depression not elevation
ii, iii, and avf is located in inferior wall if new stent is occluded, st elevation would
be on the anterior leads which is v2-v4




C.


The stroke protocol should be activated as soon as signs of stroke are identified
in a patient. Initial signs of stroke include facial droop, arm down drift, and
garbled speech. For best outcomes, the time elapsed between initials signs of
stroke and treatment must be as short as possible.


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2 of 51

Definition



hypoxia, stroke, head injury, hyperthermia, MI
- tx: benzo, vasodilators if htn, cooling, seizures tx



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, Cocaine - sympathetic
hypovolemic shock
response




Acetaminophen overdose - liver
cardiogenic pulmonary edema
failure


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3 of 51

Term



a priority intervention for initial tx of htn crisis would be to
administer:
a. furosemide, diuretic
b. isoproterenol, + inotrope
c. esmolol, bblocker
d. nicardipine, afterload reducer



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d. C




d a


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4 of 51

, Term



Determinants of cardiac output:

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hypoxia, stroke, head injury,
hyperthermia, MI suspect anastomosis leak and
- tx: benzo, vasodilators if htn, possible peritonitis
cooling, seizures tx




CO = HR X SV
pt toxic exposure to salicylates and
(preload + afterload +
cocaine
contractility)


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5 of 51

Term



which physical assessment finding would the nurse anticipate in a
patient with hx of venous stasis ulcers?
a. cool extremities w minimal edema
b. pale ext and painful ambulation
c. hyperpigmented ext w increased edema
d. warm ext w weak oulses



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c. c

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Institution
PCCN practice
Course
PCCN practice

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