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Exam (elaborations)

CFPN Exam Study Guide for Update.

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  • CFPN

CFPNExamStudyGuidefor Update. universal protocol - Correct Answer - wrong person/site/procedure can and MUST be prevented - patient and family involved - communication among ALL team members allergies - Correct Answer - food: kiwi, banana, milk products, eggs - culture specific issues (pork/...

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  • November 4, 2024
  • 22
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CFPN
  • CFPN
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alfreddicki
CFPN Exam Study Guide for 2024-2025
Update.
universal protocol - Correct Answer - wrong person/site/procedure can and MUST be
prevented
- patient and family involved
- communication among ALL team members


allergies - Correct Answer - food: kiwi, banana, milk products, eggs
- culture specific issues (pork/beef)
- document type and timing of reaction, method to treat, arm band or notice on chart


NPO guidelines - Correct Answer - clear liquids: 2 hours
- breast milk: 4 hours
- infant formula: 6 hours
- light meal: 6 hours
- full meals (fatty/fried): > 8 hours
- no cough drops, gum, candy


herbal/complimentary medication interactions - Correct Answer - bleeding
- HTN
- immune suppression
- early labor
- palpitations
- prolong anesthesia
- hallucinations


implant documentation - Correct Answer - type of device
- location
- implant date

,- battery present/life


hypothermia risks - Correct Answer - general anesthesia
- open, exposed wounds for extended time
- cold environment
- peds/elderly
- cold IV fluids


hyperthermia risks - Correct Answer - heating devices
- malignant hyperthermia (general anesthesia + triggering agents, family hx, duchenne
MD)


maintaining normothermia - Correct Answer - increase OR temp
- active/passive warming
- limit exposure (prep, surgery length, fluids)
- temp > 96.8 within 15 min of arrival to PACU


informed consent - Correct Answer - patient has decision-making capacity may accept or
refuse any recommended medical intervention at any time
- right to information and opportunity to discuss benefits, risks, and costs of tx and tx
alternatives


site marking - Correct Answer - done BEFORE premedication
- pt involvement
- physician
- visible after prep and drape


time out - Correct Answer - minimum: patient, site, procedure
- fire risk
- concerns
- designated team member initiates
- cease all unnecessary activity/conversation

, - before: regional blocks, each procedure if 2+ and different surgeon
- document


patient related VTE risk factors - Correct Answer - 40 years
- obesity
- immobilization > 3 days
- hx VTE/stroke
- varicose veins
- dehydration
- pregnancy
- smoking
- blood transfusion
- o neg blood
- OSA


procedure related VTE risk factors - Correct Answer - surgery > 90 min
- lower limb surgery > 60 min
- position
- bariatric
- major foot/ankle
- c-section
- implants
- major plastic plastic surgery
- pneumatic tourniquet


laser safety - Correct Answer - awake pt needs goggles
- sedated pt - wet gauze on closed lid/goggles
- laser around eye: water soluble lube, corneal eye shields
- stop O2

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