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CMI 3358 FINAL EKO Spring
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CMI 3358 FINAL EKO Spring
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CPAN practice questions form 1B = 5th grade level - ANS-The perianesthesia nurse demonstrates understanding that
language and readable instructions are important to patient safety after discharge, by
ensuring patient discharge instructions are written in the vocabulary of grade level:
A. 3
B. 5
C. 9
D. 12
D. reports to social services - ANS-While assess an elderly patient who is anxious and
fearful, a perianesthesia nurse observes old and new bruises with torn skin on the
patient's arms, face, and hairline. The perianesthesia nurse's best action is to:
A. approach the family about possible abuse
B. evaluate, observe, and further assess the patient
C. use appropriate paper tape on the patient's skin
D. report this information to social services
A. injury and infection - ANS-The perianesthesia nurse instructs a patient scheduled for
a laparoscopic cholecystectomy to remove body piercings prior to arrival as they may
cause:
A. injury and infection
B. increased pain in the incision site
C. adverse medication interaction
D. EKG monitoring
B. erythema
There are two types of latex allergies: Type I (immediate-type) hypersensitivity and Type
IV (delayed-type) hypersensitivity.
Type I (immediate-type) hypersensitivity to natural rubber latex is an IgE-mediated,
immediate type hypersensitivity reaction to one or more proteins in natural rubber latex.
It is mediated by mast cell histamine relase and it typically involves a systemic reaction.
Type IV (delayed-type) hypersensitivity is a T cell-mediated (another type of white blood
cell), delayed response, and typically occurs 48 to 96 hours after exposure. This is
, frequently a reaction to the processing chemicals used in manufacturing natural rubber
latex. This reaction is generally localized to the area of contact. This reaction is also
referred to as allergic contact dermatitis, T-cell-mediated allergy, or chemical allergy. -
ANS-The perianesthesia nurse suspects a Type IV latex allergy in a patient exhibiting:
A. tachyphylaxis
B. erythema
C. hypotension
D. bronchospasm
C. Providing 1:1 nurse-to-patient ratio for the patient - ANS-A patient with
vancomycin-resistant enteroccus is being admitted to the PACU following surgery. A
perianesthesia nurse should know which precaution provides the safest environment for
both the patient and others in the PACU?
A. Having the anesthesiologist recover the patient in the OR
B. Placing a special respirator mask over the nasal cannula on the patient
C. Providing 1:1 nurse-to-patient ratio for the patient
D. Having the anesthesiologist bypass the PACU and transporting the patient directly to
the surgical floor
C. Provide a safe environment - ANS-A combative, restless, and thrashing patient
arrives in the phase I PACU. After an initial assessment of the patient's airway, the next
intervention fir the perianesthesia nurse is to:
A. bring family members to the bedside
B. arouse the patient
C. Provide a safe environment
D. Medicate the patient for pain
C. the presence of padded side rails - ANS-The perianesthesia nurse is aware that the
most important interventions for the pediatric patient in emergence delirium is:
A. monitoring and controlling body temperature
B. Having a parent present
C. the presence of padded side rails
D. providing tender loving care
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