Involve the patient's legal guardian in the consent process.

mechanical circulatory assist devices to increase coronary perfusion

standing next to the translator and as close to the patient as possible.

ask the family to identify a family spokesperson.

decreasing afterload and decreasing preload.

improve myocardial contraction.

consult with the rehabilitation staff regarding transfer criteria.

assemble a work group to discuss the current hospital policy.

prevents platelet aggregation on an embolus.

present a report of research relating developmental care to decreased LOS.

recommend an evaluation of the present dressing protocol.

chest tube insertion, oxygen and fluid bolus

blood cultures, antibiotics and rapid administration of IV fluids.

reduced coronary artery perfusion secondary to hypotension.

elevated serum amylase, decreased serum calcium and decreased serum protein

an interpreter who is proficient in the parents' language

↑ urine output, ↑ serum osmolality, hypernatremia and ↓ urine sodium

all disciplines document patient teaching on the same flow sheet.

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CCRN Review Part 5

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Questions 30

Answers

1
Question 8
Inform the institutional review board (IRB) of the potential risk to the pt
Obtain a copy of the consent form to place in the patient's chart.
Involve the patient's legal guardian in the consent process.
Ensure that the investigator is aware of the patient's condition.
2
Question 14
alpha-adrenergic drugs to increase coronary perfusion
mechanical circulatory assist devices to increase coronary perfusion
beta-receptor blockade agents to increase cardiac contractility
nitrates to decrease afterload
3
Question 13
high serum potassium
low serum phosphate
low serum calcium
high serum magnesium
4
Question 12
decrease in inspiratory pressure
decrease in bronchial secretions
decrease in plateau pressure
decrease in carbon dioxide
5
Question 10
providing all the info, then allowing translation and asking of questions.
having the translator ask questions that you don't feel comfortable asking.
allowing time for the translator to decode the medical jargon used.
standing next to the translator and as close to the patient as possible.
6
Question 22
offer the family a tour of the unit.
ensure the chaplain is available.
ask the family to identify a family spokesperson.
include the family in patient care.
7
Question 26
obtain an allergy history.
begin the therapy with 60 minutes of the patient's arrival.
start an IV line.
establish onset of symptoms.
8
Question 20
aortic valve insufficiency
ventricular aneurysm
ventricular septal defect
mitral valve regurgitation
9
Question 15
decreasing afterload and decreasing preload.
increasing afterload and increasing preload.
increasing afterload and decreasing preload.
decreasing afterload and increasing preload.
10
Question 17
improve urinary output.
improve myocardial contraction.
decrease myocardial ischemia.
decrease oxygen consumption.
11
Question 18
a spontaneous pneumothorax.
a pleural effusion.
a pulmonary embolus.
aspiration pneumonia.
12
Question 30
elevated serum sodium and BUN
metabolic alkalosis and decreased prothrombin time
elevated PTT and decreased BUN:creatinine ratio
decreased WBC and elevated PLT count
13
Question 19
a double-lung transplant.
emphysema.
pulmonary hypertension.
a cough reflex.
14
Question 6
broad-spectrum IV antibiotics
benzodiazepines
volume repletion with Lactated Ringer's (LR)
potassium replacement
15
Question 21
MAP greater than 70 mm Hg
SvO2 greater than 70%
CI less than 2 L/min/m2
SVR less than 1000 dynes/sec/cm5
16
Question 3
rapid GI transit time
celiac artery infarction
superior mesenteric artery occlusion
intestinal obstruction
17
Question 24
request a psychiatric evaluation of the patient's coping skills.
ensure that the patient is functionally independent prior to transfer.
ensure the patient has bowel and a bladder control.
consult with the rehabilitation staff regarding transfer criteria.
18
Question 2
peripheral vasodilation
increased cardiac contractility
elevated afterload
decreased vascular permeability
19
Question 27
send the results of the survey to the hospital administrator.
hold an inservice for the radiology dept about effects of sleep deprivation
assemble a work group to discuss the current hospital policy.
reschedule all nonemergent 4 a.m. chest x-rays during daytime hours.
20
Question 1
potentiates the conversion of fibrinogen to fibrin.
reacts with plasminogen to form plasmin.
activates plasminogen, which dissolves the embolus.
prevents platelet aggregation on an embolus.
21
Question 25
request that the neonatologist present the plan.
present case studies demonstrating favorable outcomes for develop. care.
invite members of administration to attend the classes.
present a report of research relating developmental care to decreased LOS.
22
Question 9
recommend an evaluation of the present dressing protocol.
apply an antibiotic ointment to wounds when changing the dressing.
experiment with dressing wounds using a different technique.
perform a literature search to identify current trends in dressing protocol
23
Question 4
immediate thoracotomy, endotracheal intubation and dopamine (inotropin)
pericardiocentesis, fluid bolus and oxygen
thoracentesis, D5W IV at a keep-open rate and digoxin
chest tube insertion, oxygen and fluid bolus
24
Question 11
blood cultures, antibiotics and rapid administration of IV fluids.
monitoring for signs of withdrawal, antipyretics and IV fluids and vitamins
a CT scan of the head and a drug screen.
antipyretics and dopamine (inotropin) administration.
25
Question 28
contacting the patient's family.
using a letterboard.
asking "yes" and "no" questions.
touching and using gestures.
26
Question 5
prolonged PR interval and bundle branch block.
increased peripheral vascular resistance.
reduced coronary artery perfusion secondary to hypotension.
atrial dysrhythmias, particularly paroxysmal atrial tachycardia.
27
Question 7
decrease serum amylase, elevated serum calcium and elevated serum glucose
elevated serum amylase, decreased serum calcium and decreased serum protein
elevated alkaline phos, elevated bilirubin and decreased serum glucose
elevated total protein, decreased serum calcium and decreased PT
28
Question 23
ongoing classes addressing the cultural needs of the community
classes conducted by the primary curse as the need arises
information about the cultural backgrounds represented in the community
an interpreter who is proficient in the parents' language
29
Question 16
↓ urine output, ↓ serum osmolality, hyponatremia and ↓ urine sodium
↓urine output, ↓ serum osmolality, hypernatremia and ↑ urine sodium
↑ urine output, ↓ serum osmolality, hyponatremia and ↓ urine sodium
↑ urine output, ↑ serum osmolality, hypernatremia and ↓ urine sodium
30
Question 29
each discipline distribute copies of its flow sheet to each team member.
all disciplines document patient teaching on the same flow sheet.
daily care conferences to review & discuss pt teaching and the flow sheets.
nurses review the flow sheets of all disciplines during shift change.

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