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PCC EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS
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PCC EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS
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PCC EXAM 1 QUESTIONS WITHCOMPLETE SOLUTIONS
Anxxoverweightxxpatientxx(BMIxx28.1xxkg/
m2)xxisxxscheduledxxforxxaxxlaparoscopicxxcholecystectomyxxatxxanxxoutpatientxxsurgeryxx
setting.xxThexxnursexxknowsxxthat
a.xxsurgeryxxwillxxinvolvexxmultiplexxsmallxxincisions.
b.xxthisxxsettingxxisxxnotxxappropriatexxforxxthisxxprocedure.
c.xxsurgeryxxwillxxinvolvexxremovingxxaxxportionxxofxxthexxliver.
d.xxthexxpatientxxwillxxneedxxspecialxxpreparationxxbecausexxofxxobesity.xx-xxAnswerxxa
Thexxpatientxxtellsxxthexxnursexxinxxthexxpreoperativexxsettingxxthatxxshexxhasxxnoticedxxsh
exxhasxxaxxreactionxxwhenxxwearingxxrubberxxgloves.xxWhatxxisxxthexxmostxxappropriatexxi
ntervention?
a.xxNotifyxxthexxsurgeonxxsoxxthexxcasexxcanxxbexxcancelled.
b.xxAskxxadditionalxxquestionsxxtoxxassessxxforxxaxxpossiblexxlatexxxallergy.
c.xxNotifyxxthexxORxxstaffxximmediatelyxxsoxxthatxxlatex-freexxsuppliesxxcanxxbexxused.
d.xxNoxxinterventionxxisxxneededxxbecausexxthexxpatient'sxxrubberxxsensitivityxxhasxxnoxxb
earingxxonxxsurgery.xx-xxAnswerxxb
Axx59-year-
oldxxmanxxisxxscheduledxxforxxaxxherniorrhaphyxxinxx2xxdays.xxDuringxxthexxpreoperativexx
evaluationxxhexxreportsxxthatxxhexxtakesxxginkgoxxdaily.xxWhatxxisxxthexxpriorityxxinterventi
on?
a.xxInformxxthexxsurgeon,xxsincexxthexxprocedurexxmayxxneedxxtoxxbexxrescheduled.
b.xxNotifyxxthexxanesthesiaxxcarexxprovider,xxsincexxthisxxherbxxinterferesxxwithxxanestheti
cs.
c.xxAskxxthexxpatientxxifxxhexxhasxxnoticedxxanyxxsidexxeffectsxxfromxxtakingxxthisxxherbalxx
supplement.
,d.xxTellxxthexxpatientxxtoxxcontinuexxtoxxtakexxthexxherbalxxsupplementxxupxxtoxxthexxdayxx
beforexxsurgery.xx-xxAnswerxxa
Axx17-year-
oldxxpatientxxwithxxaxxlegxxfracturexxisxxscheduledxxforxxsurgery.xxShexxreportsxxthatxxshexx
isxxlivingxxwithxxaxxfriendxxandxxisxxanxxemancipatedxxminor.xxShexxhasxxaxxstatementxxfro
mxxthexxcourtxxforxxverification.xxWhichxxinterventionxxisxxmostxxappropriate?
a.xxWitnessxxthexxpermitxxafterxxconsentxxisxxobtainedxxbyxxthexxsurgeon.
b.xxCallxxaxxparentxxorxxlegalxxguardianxxtoxxsignxxthexxpermit,xxsincexxthexxpatientxxisxxun
derxx18.
c.xxObtainxxverbalxxconsent,xxsincexxwrittenxxconsentxxisxxnotxxnecessaryxxforxxemancipat
edxxminors.
d.xxInvestigatexxyourxxstate'sxxnursexxpracticexxactxxrelatedxxtoxxemancipatedxxminorsxxan
dxxinformedxxconsent.xx-xxAnswerxxa
Axxpriorityxxnursingxxinterventionxxtoxxassistxxaxxpreoperativexxpatientxxinxxcopingxxwithxxfe
arxxofxxpostoperativexxpainxxwouldxxbexxto
a.xxinformxxthexxpatientxxthatxxpainxxmedicationxxwillxxbexxavailable.
b.xxteachxxthexxpatientxxtoxxusexxguidedxximageryxxtoxxhelpxxmanagexxpain.
c.xxdescribexxthexxtypexxofxxpainxxexpectedxxwithxxthexxpatient'sxxparticularxxsurgery.
d.xxexplainxxthexxpainxxmanagementxxplan,xxincludingxxthexxusexxofxxaxxpainxxratingxxscal
e.xx-xxAnswerxxd
Axxpatientxxisxxscheduledxxforxxsurgeryxxrequiringxxgeneralxxanesthesiaxxatxxanxxambulato
ryxxsurgicalxxcenter.xxThexxnursexxasksxxhimxxwhenxxhexxatexxlast.xxHexxrepliesxxthatxxhexx
hadxxaxxlightxxbreakfastxxaxxcouplexxofxxhoursxxbeforexxcomingxxtoxxthexxsurgeryxxcenter.x
xWhatxxshouldxxthexxnursexxdoxxfirst?
a.xxTellxxthexxpatientxxtoxxcomexxbackxxtomorrow,xxsincexxhexxatexxaxxmeal.
b.xxProceedxxwithxxthexxpreoperativexxchecklist,xxincludingxxsitexxidentification.
c.xxNotifyxxthexxanesthesiaxxcarexxproviderxxofxxwhenxxandxxwhatxxthexxpatientxxlastxxate.
d.xxHavexxthexxpatientxxvoidxxbeforexxadministeringxxanyxxpreoperativexxmedications.xx-
xxAnswerxxc
,Axxpatientxxwhoxxnormallyxxtakesxx40xxunitsxxofxxglarginexxinsulinxx(longxxacting)xxatxxbedt
imexxasksxxthexxnursexxwhatxxtoxxdoxxaboutxxherxxdosexxthexxnightxxbeforexxsurgery.xxThe
xxbestxxresponsexxwouldxxbexxtoxxhavexxher
a.xxskipxxherxxinsulinxxaltogetherxxthexxnightxxbeforexxsurgery.
b.xxtakexxherxxusualxxdosexxatxxbedtimexxandxxeatxxaxxlightxxbreakfastxxinxxthexxmorning.
c.xxeatxxaxxmoderatexxmealxxbeforexxbedtimexxandxxthenxxtakexxhalfxxherxxusualxxinsulinxx
dose.
d.xxgetxxinstructionsxxfromxxherxxsurgeonxxorxxhealthxxcarexxproviderxxonxxanyxxinsulinxxad
justments.xx-xxAnswerxxd
Preoperativexxconsiderationsxxforxxolderxxadultsxxincludexx(selectxxallxxthatxxapply)
a.xxonlyxxusingxxlarge-printxxeducationalxxmaterials.
b.xxspeakingxxlouderxxforxxpatientsxxwithxxhearingxxaids.
c.xxrecognizingxxthatxxsensoryxxdeficitsxxmayxxbexxpresent.
d.xxprovidingxxwarmxxblanketsxxtoxxpreventxxhypothermia.
e.xxteachingxximportantxxinformationxxearlyxxinxxthexxmorning.xx-xxAnswerxxc,d
FivexxminutesxxafterxxreceivingxxaxxpreoperativexxsedativexxmedicationxxbyxxIVxxinjection,
xxaxxpatientxxasksxxtoxxgetxxupxxtoxxgoxxtoxxthexxbathroomxxtoxxurinate.xxWhatxxisxxthexxmo
stxxappropriatexxactionxxforxxthexxnursexxtoxxtake?xx
A.xxOfferxxthexxpatientxxtoxxusexxthexxurinal/
bedpanxxafterxxexplainingxxthexxneedxxtoxxmaintainxxsafety.xx
B.xxAssistxxthexxpatientxxtoxxthexxbathroomxxandxxstayxxnextxxtoxxthexxdoorxxtoxxassistxxpat
ientxxbackxxtoxxbedxxwhenxxdone.xx
C.xxAllowxxthexxpatientxxtoxxgoxxtoxxthexxbathroomxxsincexxthexxonsetxxofxxthexxmedication
xxwillxxbexxmorexxthanxx5xxminutes.xx
D.xxAskxxthexxpatientxxtoxxholdxxthexxurinexxforxxaxxshortxxperiodxxsincexxaxxurinaryxxcathet
erxxwillxxbexxplacedxxinxxthexxoperatingxxroomxx-xxAnswerxxA
Whatxxisxxthexxprimaryxxreasonxxforxxaccuratelyxxrecordingxxthexxpatient'sxxcurrentxxmedic
ationsxxduringxxaxxpreoperativexxassessment?xx
, A.xxSomexxmedicationsxxmayxxalterxxthexxpatient'sxxperceptionsxxaboutxxsurgery.xx
B.xxManyxxanestheticsxxalterxxrenalxxandxxhepaticxxfunction,xxcausingxxtoxicityxxofxxotherxx
drugs.xx
C.xxSomexxmedicationsxxmayxxinteractxxwithxxanesthetics,xxalteringxxthexxpotencyxxandxxe
ffectxxofxxthexxdrugs.xx
D.xxRoutinexxmedicationsxxarexxwithheldxxthexxdayxxofxxsurgery,xxrequiringxxdosagexxandx
xschedulexxadjustmentsxxafterxxsurgery.xx-xxAnswerxxC
Drugxxinteractionsxxmayxxoccurxxbetweenxxprescribedxxmedicationsxxandxxanestheticxxag
entsxxusedxxduringxxsurgery.xxForxxthisxxreason,xxitxxisxximportantxxtoxxtakexxaxxcarefulxxm
edicationxxhistoryxxandxxcheckxxthatxxtheyxxhavexxbeenxxcommunicatedxxtoxxthexxanesthe
siaxxcarexxprovider.xxRoutinexxmedicationsxxmayxxorxxmayxxnotxxbexxprescribedxxforxxusex
xthexxdayxxofxxsurgery.
Whilexxperformingxxpreoperativexxteaching,xxthexxpatientxxasksxxwhenxxshexxneedsxxtoxxs
topxxdrinkingxxwaterxxbeforexxthexxsurgery.xxBasedxxonxxthexxmostxxrecentxxpracticexxguid
elinesxxestablishedxxbyxxthexxAmericanxxSocietyxxofxxAnesthesiologists,xxthexxnursexxtells
xxthexxpatientxxthatxx
A.xxshexxmustxxbexxNPOxxafterxxbreakfast.xx
B.xxshexxneedsxxtoxxbexxNPOxxafterxxmidnight.xx
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