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CMSRN Questions And Answers With Verified Solutions Already Passed!!!
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CMSRN Questions And Answers With Verified Solutions Already Passed!!!
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CMSRN Questions And Answers WithVerified Solutions Already Passed!!!
Aortic aneurysm repair - ANSWER✔✔Repair of a weakened bulging area of the
aorta
Aorta is clamped to prevent bleeding while the graft is being placed
At the time of placement, distal peripheral tissues are not perfused
Postoperative nursing care includes an assessment of the pedal pulses every hour
for 24 hours
Changes in pulse quality or absent pulses must be reported
Pulses are assessed with a Doppler, if needed, to provide a more objective means
of assessment
Which test provides the definitive diagnosis for tuberculosis? -
ANSWER✔✔Sputum culture- if positive for Mycobacterium tuberculosis
Nursing process - ANSWER✔✔Assessment
Diagnosis
Planning
Implementation
Evaluation
Standards of clinical nursing practice are directly related to the nursing process
Steps of evidence based practice - ANSWER✔✔0. Cultivate a spirit of inquiry.
1. Ask a clinical question in PICOT format.
2. Search for the most relevant evidence.
3. Critically appraise the evidence you gather.
4. Integrate all evidence with your clinical expertise and patient preferences and
values.
5. Evaluate the outcomes of practice decisions or changes using evidence.
6. Share the outcomes with others.
Levels of Evidence - ANSWER✔✔I: Systematic reviews of randomized controlled
studies
II: At least one RCT
III: Quasi-experimental studies
,IV: Case-control and cohort studies
V: Systematic reviews of descriptive or qualitative studies
VI: Single descriptive or qualitative study
VII: Expert individual authorities or committees
HCAHPS - ANSWER✔✔Hospital Consumer Assessment of Healthcare Providers
and Systems
-communication w/ providers
-communication w/ nurses
-responsiveness
-pain management
-communication about meds
-discharge info
-cleanliness of hospital
-quietness of hospital
-transition of care
SBAR - ANSWER✔✔Situation: statement of problem needing addressed
Background: data related to current situation
Assessment: summary of causes, significance, severity of situation
Recommendation: specific actions needed to address the situation
Risk factors for falls - ANSWER✔✔Age or overall physical condition
Urgency for urinary elimination
High-risk medications or new medication regimen
Surgery, procedures or diagnostic testing leading to impaired mobility (including
regional anesthesia)
Environmental hazards such as obstacles including slick or wet floors.
Sepsis - ANSWER✔✔-toxic inflammatory condition arising from the spread of
microbes, especially bacteria or their toxins, from a focus of infection
-bacterial, viral, fungal, parasitic
, -local infection overcomes body's local defense mechanisms leading to an
inflammatory response
-severe organ dysfunction caused by dysregulated host response to infection
-at risk groups: immunocompromised, chemo, burns, pregnant, chronic illness,
HIV/AIDS, elderly, newborn
Treatment of sepsis - ANSWER✔✔-Timely fluid resuscitation
-Early admin of broad-spectrum abx
Pathophysiology of sepsis - ANSWER✔✔-Bodily insult --> activates immune
response with biochemical cytokines and mediators -->inflammatory response
-Vascular response --> release of histamine, prostaglandin, bradykinin & other
mediators -->vasodilation, increased capillary
-Microorganism---> body (portal of entry)---> actives immune response with
biochemical cytokines and mediators--->inflammatory response--->complex
cascade and overwhelming response---> *poor tissue perfusion---> increased
capillary permeability and vasodilation (decreased SVR)---> decreased perfusion
to tissues and cells---> pro-inflammatory and anti-inflammatory cytokines activate
the coagulation system to clot where bleeding is not present= DI
Practice roles of the nurse - ANSWER✔✔Caregiver
Advocate
Educator
Coordinator
Discharge planner
Change agent
Researcher
Unlicensed personnel scope - ANSWER✔✔make observations
collect clinical data
report findings to the nurse
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