PCCN (PROGRESSIVE CARE NURSING CERTIFICATION) 2024/2025 PCCN (Progressive Care Nursing Certification) Questions And Answer/ Guarantee Pass (120 Q & A+ Explanati on) A PATIENT Is Confused About Time And Place, Despite Frequent Reorientation. For The PATIENT Safety, The Nurse Should Initially A. Put A Vest Restraint On The PATIENT B. Ask A Family Member To Stay With The PATIENT C. Administer A Mild Sedative D. INCREASE THE FREQUENCY OF PATIENT OBSERVATION PATIENT Have A Right To Receive Safe Care In A Safe Environment. However, The Use Of Restraints Is Inherently Risky. The Decision To Use A Restrain Or Seclusion Is Not Driven By Diagnosis, But By A Comprehensive PATIENT Assessment. For A Given PATIENT At A Particular Point In Time, This Assessment Determines Whether The Use Of Less Restrictive Measures Poses A Greater Risk Than The Risk Of Using A Restraint. Increasing The Frequency Of Observation May Be All That Is Required To Keep This PATIENT Safe. T he Comprehensive Assessment To Identify Medical Problems That May Be Causing Behavior Changes In The PATIENT . For Example, Temperature Elevations, Hypoxia, Hypoglycemia, Electrolyte Imbalances, Drug Interactions And Adverse Effects May Cause Confusion, Agitatio n And Combative Behavior. Addressing These Medical Issues May Eliminate Or Minimize The Need For Restraint. A PATIENT With Acs Who Has Undergone Cardiac Surgery 2 Days Ago Develops New Onset Of Jvd, Muffled Heart Tones, Palpitations, Difficulty Breathing And Che st Pain That Worsens With Coughing. Decreased Peripheral Pulses Are Noted. Vital Signs Are As Follows Bp 110/60 To 90/50 Hr 96 To 134 Rr 20 To 28 Which Of The Following Should The Nurse Anticipate A. Needle Decompression B. ECHOCARDIOGRAM PCCN (PROGRESSIVE CARE NURSING CERTIFICATION) C. Administration Of Dop amine D. Spiral Ct This PATIENT Is At Risk For And Is Demonstrating Signs Of Cardiac Tamponade. Cardiac Tamponade May Occur After Surgery If Blood Accumulates In The Mediastinal Space, Impairing The Heart's Ability To Pump. Signs Of Tamponade Include Elevated And Equalized Filling Pressures (Cvp, Padp, Paop), Decreased Cardiac Output, Respiratory Rate, Jugular Venous Distention, Pulsus Paradoxus, And Muffled Heart Sounds. Transesophageal Or Transthoracic Echocardiography May Be Used To Diagnose Or Confirm Cardiac Tamponade. A PATIENT Is Admitted With A Severe Headache, Nausea And Vomiting. Bp On Arrival Is 280/140 Mm Hg. The Nurse Should Anticipate Immediate Administration Of A. Atniemetics B. LABETALOL C. Mannitol D. Analgesics Hyperte nsive Urgencies May Be Treated With Rapid -Acting Oral Antihypertensive Agents. There Are Many Drug Categories Available, Including Aceis, Arbs, Calcium Channel Blockers And Beta -Blockers. Labetalol Is An Example Of A Beta -Blocker That May Be Used In This S ituation. A PATIENT Who Is Extubated Following 3 Days Of Mechanical Ventilation Is Noted To Have Hot And Flushed Skin And Is Expectorating Thick Yellow Sputum. Auscultation Reveals Bilateral Crackles Halfway Up Posterior. Data Are As Follows Bp 112/60 Hr 138 Rr 30 T 102 (38.9) O2 Sat 93% On 2 L Nc Which Of The Ff Orders Should The Nurse Anticipate A. Lasix 40 Mg Ivp And Increase 02 To 4 L/Min B. Albuterol Inhaler And Methylprednisolone 125 Mg Ivp C. Serum Bnp And Hctz PCCN (PROGRESSIVE CARE NURSING CERTIFICATION) D. BLOOD CULTURE AND IV ANTIBIOTICS This PATIENT Is Demonstrating Sym PATIENT oms Of Pneumonia. Rapid Administration Of Antibiotics Contributes To Improved Outcomes. Obtaining Blood Cultures Will Help The Provider Determine The Appropriateness Of Selected Antibiotics. When Caring For A 15 Year Old PATIENT , The Nurse Should A. Answer Questions With Simple And Practical Information B. Dispel Fantasies And Encourage Questions C. Encourage PATIENT To Talk About Life Experiences D. ALLOW THE PAT IENT PEERS TO VISIT Teens Want To Be With People Their Own Age - Their Peers. Peers Are Often More Acce pting Of The Feelings, Thoughts And Actions Associated With The Teen's Search For Self -Identity. The Influence Of Peers - Whether Positive Or Negative - Is Critical Importance In An Adolescent's Life. A PATIENT With A History Of Heroin And Alcohol Abuse Is Admitted For Treatment Of Cellulitis. The PATIENT Has Flushed, Slightly Moist Skin And Is Slow To Respond To Verbal Stimuli. The Affected Arm Is Edematous And Hard To The Touch, With Yellow Exudate Noted From Puncture Wounds On The Skin. Vital Signs Are Bp 88/50 Hr 120 Rr 26 T 102 (38.9) The Nurse Should Anticipate Orders For Which Of The Ff A. ABX AND CRYSTALLOID ADMINISTRATION B. Antipyretic And Dopamine Administration C. Ct Scan Of The Head And A Drug Screen D. Colloid Followed By Norepine prhine Administration This PATIENT Has Risk Factors And Is Exhibiting Signs Of Sepsis. The Main Goals Are To Control Infection And Provide Immediate Resuscitation Of The Hypoperfused State. Early Goal -Directed Therapy During The First 6 Hours Of Resuscitation Improves Survival. This They Includes Aggressive Fluid Resuscitation To Augment Intravascular Volume And Increase Preload Until A Cvp Of 8 To 12 Mm PCCN (PROGRESSIVE CARE NURSING CERTIFICATION) Hg. (12 To 15 Mm Hg In Mechanically Ventilated PATIENT ). Is Acheived. Crystalloids Or Colloids May Be Used. A Fluid Challenge For Hypovolemia Should Be Initiated. A PATIENT With Htn, Dyslipidemia And Cad Has Leg Pain And Decreased Skin Temperature In The Legs And Feet. The PATIENT Legs Have Pallor And Decreased Pulses That Become Fainter When The Legs Are Elev ated. The Nurse Should Suspect. A. Dvt B. Chronic Venous Insufficiency C. ACUTE ARTERIAL OCCLUSION D. PAD The Sym ptoms Described In This Scenario Are Consistent With Pad. This PATIENT Also Has Risk Factors For Pad. Risk Factors For Pad Include Dm And Impaired Glucose Tolerance, Smoking, Hypertension, Hyperlipidemia And Hyperhocysteinemia A PATIENT With History Of Copd And Anterior Wall Mi That Occurred 1 Year Ago Is Now Sob And Expectorating Pink Frothy Sputum. The PATIENT Has A Rapid, Irregular Heart -Beat W ith An O2 Sat Of 89%. The Most Likely Cause Of These S/S Is A. PULMONARY EDEMA B. Cardiac Tamponade C. Pneumococcal Pneumonia D. Ards History And Current Sym PATIENT oms Are Consistent For Pulmonary Edema Which Of The Ff PATIENT s In The Pcu Should B e Further Evaluated For Malnutrition? The PATIENT With A. A THIRD EPISODE OF ARF AND POOR PULMONARY FUNCTION TESTS B. Hypoactive Bowel Sounds And Normal Albumin Levels C. Sepsis Who Hasa 10 Kg Water Weight Gain And Is Receiving Diuretics D. Elevated Bmi And Hgb Of 14.6 Malnutrition And Respiratory Failure Are Closely Lined. Critically Ill PATIENT With Respiratory Failure Are Vulnerable To Complication Of Underfeeding Or Overfeeding.
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