CPRNRE Study Set 5 Exam Questions and Answers

CPRNRE Study Set 5 Exam Questions and Answers What is the best intervention for a patient complaining that their pain has increased recently because their medication has been different? -Answer-- many patients will notice if they are taking different pills from what they are usually given, even though the pain increase can often be psychological - it is best to have a physician review the patient's medication regimen What is the best intervention when the patient is willingly choosing to disregard physicians or rehab orders by eating a diet not specified safe for them? -Answer-- explain to them the risk and document said conversation - the patient has the right to live at risk ,but if it is not documented, it is assumed that no intervention took place What is the best intervention for insufficient lung ventilation when a patient is already on O2 therapy? -Answer-- take the patient temperature and O2 sat every hour and encourage deep breathing - the temperature and oxygen monitoring saturation are designed to assess hypoxemia and respiratory acidosis What is the best way to confirm a child understands how to properly administer a measured dose inhaler? -Answer-- observe the child and check the measured dose inhaler for residue - also note if a whistle sound is made during inspiration In what circumstances is it acceptable for a nurse to refuse a procedure? -Answer-- any procedure in which a nurse feels uncomfortable with - or any procedure which is out of a nurse's scope of competency/practice can be refused What is the best way to prevent air from getting in a new intravenous bag change tubing? -Answer-- keep the bag upright before closing the roller clamp What is the best intervention for a violent patient? -Answer-- call for assistance - in most cases, a code will be called and the patient will be either physically or chemically sedated - often both will be used What are the most common signs that a patient's fluid balance has been restored? - Answer-- decreased blood urea nitrogen, serum sodium, and urine output of over 25cc an hour What is an important key to remember when assessing pediatric patient of different cultures? -Answer-- not all pediatric patients will fall into the specified average height/weight ratio - this does not necessarily mean a problem will occur later in life What is the most important vital sign which shows a patient's mental status is decreasing? -Answer-- respiration rate of less than 10 per minute - this indicates sign of CNS depression What is the leading cause of gastric ulcer? -Answer-- the bacterium Helico Pylori - this bacterium is present in 50-75% of patient with gastric ulcers and interferes with the resistance of gastric mucosa