PCCN Exam Questions with Correct Answers Latest Updates A Solved 100% Correct (Actual Exam) With Rationales Score 100%
0 view 0 purchase
Course
PCCN Exers
Institution
PCCN Exers
PCCN Exam Questions with Correct
Answers Latest Updates A Solved
100% Correct (Actual
Exam) With Rationales Score 100%
A pt with ESRD and HF is receiving HD through an
AV graft. VS are BP 190/94, HR 104, RR 26. The pt
has crackles bilaterally and is bleeding from the
graft site. Th...
PCCN Exam Questions with Correct
Answers Latest Updates A Solved
100% Correct 2023- 2024 (Actual
Exam) With Rationales Score 100%
,A pt with ESRD and HF is receiving HD through an
AV graft. VS are BP 190/94, HR 104, RR 26. The pt
has crackles bilaterally and is bleeding from the
graft site. The nurse should
A. asses for bruit and thrill every 30 min for 2 hours
and reasses
B. notify the interventional radiologist
C. ask the nephrologist to insert a temp catheter
into the contralateral arm
D. collaborate with the nephrologists regarding not
using heparin during dialysis treatment - ANSWER-
B.
Rationale: If the bleeding is not controlled following
application of direct pressure to the site, repair by
an interventional radiologist is indicated.
,A pt presents with a temperature of 105.6 F (40.9)
and nuchal rigidity. A nurse obtains blood culture
and administers antibiotics. The patient remains
febrile, and the family questions the adequacy of
the interventions. The nurse's best response should
be to
A. arrange a social service consult
B. assure the family that everything will be
explained later.
C suggest that the family discuss their concerns with
the physician
D. acknowledge the family's concerns while
explaining rationales for the interventions -
ANSWER-D.
Rationale: The nurse demonstrating high levels of
caring practices and facilitation of learning will
acknowledge and address the family's learning
, A pt who is newly admitted is hemodynamically
stable, had sustained a stroke and had been on
mechanical ventilation via tracheostomy tube, a
continuous sedation infusion and enteral feedings
in the ICU for several days. The pt is now off
sedation and receiving O2 via a trach collar. Gastric
residual volumes of 250 ml every 6 hours over the
past 3 days have been noted. Upon collaborating
with the nutritionist and physician, the nurse should
anticipate which of the ff
A. dilution of the enteral feeds by 50% with water
B. administration of a prokinetic agent
C. decreasing the rate of enteral feedings by 50%
D. initiation of pernteral nutrition - ANSWER-B.
Rationale: In a studr of 206 critically ill pt, 2 or
more GRVs of at least 200 mL and 1 or more GRVs
of at least 250 mL were found significantly more
often in pt who experienced frequent aspiration.
Prokinetics have been advocated to improve gastric
emptying.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Cackie254. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $28.39. You're not tied to anything after your purchase.
