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>> New CCRN-Adult Test Questions <<
CCRN (Adult) - Direct Care Eligibility Pathway (CCRN-Adult) questions is a comprehensive solution for CCRN-Adult exam preparation, offering a wide range of features designed to help you succeed. The AACN exam is an essential milestone to achieve the CCRN-Adult Certification. With CCRN-Adult exam dumps, you'll have access to AACN CCRN-Adult actual questions that are enough to crack the CCRN-Adult exam in a short time.
NEW QUESTION # 240
INITIAL management of the patient with upper Gastrointestinal (GI) bleeding would include:
Answer: B
Explanation:
The primary goal for initial management of the patient in this scenario is volume resuscitation. However, hemodynamic stabilization, identification of the bleeding site, and control of bleeding are all key points for managing the patient with upper GI bleeding. Assessment of vital signs is the most reliable reflection of blood loss. If the patient is hemodynamically stable, resuscitation begins with the initiation of 2-3 L of crystalloid. Blood products are considered if the response to fluid resuscitation is poor.
NEW QUESTION # 241
The critical care nurse is providing treatment to a patient who may have a pulmonary contusion. The critical care nurse realizes that which of the following is correct for patients who have a pulmonary contusion?
Answer: A
Explanation:
Pulmonary contusions are injuries to the lung parenchyma that occur due to a trauma. They take several hours to develop, possibly taking up to 48 hours. Pulmonary contusions are normally quite difficult to identify and will normally require medical interventions to correctly manage.
NEW QUESTION # 242
The ICU nurse understands that an overdose on which of the following substances is MOST dangerous?
Answer: D
Explanation:
Carfentanil is a powerful opioid used as a tranquilizer for large animals, such as elephants and hippopotomuses. It is 100 times stronger than fentanyl and small amounts are fatal. Carfentanil in the powdered form can be fatal if inhaled, and it is important keep its hazardous nature in mind when handling the patient.
NEW QUESTION # 243
The nurse is caring for a 32-year-old patient who was struck by a motorcycle. They sustained multiple injuries, including a fractured pelvis. It has been noted that they are in hypovolemic shock.
Which of the following clinical signs and symptoms indicate the patient is in the compensatory stage of hypovolemic shock?
Answer: C
Explanation:
Normal hemodynamics are consistent with CO 4-6 L/min, HR 60-100 bpm, SVR 800-1500 dynes/sec/cm-5, and MAP > 65 mmHg.
In hypovolemic states, circulating blood volume is depleted, either by blood loss (internal or external) or by the vascular fluid volume shifting out of the vascular space into other body fluid spaces. Tissue perfusion is inadequate due to the decrease in circulating blood, and as a result, right and left ventricular filling pressures are insufficient, decreasing stroke volume and cardiac output. The compensatory stage is composed of a number of physiologic events that represent an attempt to compensate for these decreases in CO and restore adequate oxygen and nutrient delivery to the tissues.
The patient may be restless, confused or agitated, have an increased respiratory rate and heart rate, have a weak pulse, and have scant urine output with hypoactive bowel sounds.
In the initial stage of shock, there are no obvious signs and symptoms evident as the first cellular changes occur from the decrease in tissue perfusion. Generally, the progressive stage is marked by unconsciousness, increased heart rate, inadequate blood pressure, increased or shallow respirations, and absent bowel sounds. Septic shock is characterized by increased WBC ( > 12,000), serum lactate > 4 mmol/L, and in up to 50% of patients, a positive blood culture.
NEW QUESTION # 244
When assessing renal function, the nurse knows a normal BUN-to-creatinine ratio is:
Answer: D
Explanation:
A BUN-to-creatinine ratio of less than 20:1 (specifically, 10-20:1) is indicative of normal renal function. A BUN-to-creatinine ratio greater than 20:1 is an indication of an acute renal insufficiency (dehydration or fluid loss), or may be indicative of prerenal failure in the diagnosis of Acute Renal Failure (ARF).
NEW QUESTION # 245
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