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PCC study final exam questions & answers 2024/2025

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PCC study final exam questions & answers 2024/2025 Assessment: collect data, use evidence-based assessment techniques, document relevant data Diagnosis: compare clinical findings with normal/abnormal variation & developmental events, interpret data, validate diagnoses, document diagnoses ...

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  • August 14, 2024
  • 26
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • PCC
  • PCC
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PCC study final exam questions &
answers 2024/2025

Assessment: collect data, use evidence-based assessment techniques, document relevant data



Diagnosis: compare clinical findings with normal/abnormal variation & developmental events, interpret
data, validate diagnoses, document diagnoses



Planning: establish priorities, develop outcomes, set timelines for outcomes, culturally appropriate,
realistic and measurable, include a timeline



Implementation: in a safe & timely manner, use evidence-based interventions, collaborate w/ colleagues,
use community resources, coordinate care delivery, provide health teaching & health promotion,
document implementation and any modification



Evaluation: progress towards outcomes, conduct criterion-based evaluation, include pt. and significant
others, use ongoing assessment to revise diagnoses, outcomes, plan, disseminate results to pt. and
family - ANSWERSWhat is the nursing process?



falls - ANSWERSa major health problem esp 65 or older falls are the leading cause of fatal and nonfatal
injuries

Numerous factors increase the risk of falls, including a history of falling, being age 65 or older, reduced
vision, orthostatic hypotension, lower-extremity weakness, gait and balance problems, urinary
incontinence, improper use of walking aids, and the effects of various medications.

Falls are also a common problem in health care settings



Minor to severe injury

Underlying disease more susceptible to injury

Interventions

Close proximity, signage, improved hand-offs, nurse toilet/comfort safety rounds, involving family in care

,Foreign object retained after surgery

Air embolism

Blood incompatibility

Pressure Ulcer Stage III or IV

Falls and trauma

Catheter associated UTI

Vascular catheter-associated infection

Manifestations of poor glycemic control



Surgical site infections following:

Mediastinitis following coronary artery bypass graft

Orthopedic procedures of spine, neck, shoulder, elbow

Bariatric surgery for obesity (laparoscopic gastric bypass, gasteroenterastomy, laparoscopic gastric
restrictive sleeve)

Cardiac implantable medical device

DVT, PE following knee or hip replacement

Iatrogenic pneumothorax with venous catheterization - ANSWERSWhat are the "never ever" events?



Adequate lighting- orient to surroundings

Remove obstacles from halls and traffic areas

Throw rugs

Necessary patient items on bedside table within reach

Nonessential items away to decrease clutter

No scatter rugs at home or be sure secure with non-skid back

Electronic safety alert device if at risk at home and alone

Yellow wristbands traditionally mean fall risk

Adequate footwear, armbands, surroundings, call light, side rails - ANSWERSfall interventions

, Must be clinically justified

Have to have one of the uses for restraints, have to have tried alternatives

MD order required- based on face-t0-face assessment

Order must be current

Must specify duration and circumstances restraint is used

State a specific time frame as per facility policy

8 hours adults

2 hours 9-17

1 hour under 9

On-going assessment

Bc of complications, must assess for them and release restraints, take off and get person up, see if they
still need them

Document

Behaviors of need

Procedure used in restraining

Condition of body restrained

Evaluation of patient response

Removed Periodically and determine need to continue

May not be ordered PRN

Consent if necessary - ANSWERSrestraint orders



alarms: Weight and motion sensor mats on beds and chairs

Can be silent or audible alarms with pressure changes

Door alarms, Help with confused patients; *alarms are considered restraints In long term care facilities*



side rails: Increase patient mobility and stability

Most commonly used physical restraint

Can cause falls or death

Not typically used in long term care facilities for this reason

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