CCC4 exam 3/100 Questions & Answers
Patient with output less than minimum, first thing to do? - - Palpate the
bladder for distention
- Redness at PICC line (catheter site), what do you check? - - Vital signs
- patient asked about risks of surgical procedure one hour before hand.
What does the nurse do? - - Contact provider to speak with patient
- An infection developed while in the hospital is called? - - Hospital
acquired/healthcare acquired
- What is the first response with severe chest pain? - - Evaluate pain/assess
patient
- Pain is _______ to the patient? - - Subjective
- Patience on TPN need BS checks because the TPN can cause the patient
BG to? - - Increase
- Laryngectomy priority? - - Patent airway
- Which of these is most concerning a few hours after a knee replacement
surgery?
Pain eight out of 10
Right foot warm to touch
Swelling in the knee
Cap refill of seven seconds and toes - - Cat refill of seven seconds and toes
- Patient diagnosed with sepsis, which finding is most concerning?
Elevated BP
Dry cough
Cloudy Urine
Increased lethargy - - Increased lethargy
- Initial vitals versus reassessment vitals, what do you do? - - Document as
normal
- Pain management should be _____ to the patient? - - Individualize
- Clients need to understand their operation and what the doctor tells them
before signing. If they do not.: - - Contact the provider
- What vitamin best promotes wound healing - - Vitamin C
, - What action helps you assess wound drainage overtime? - - Circle
drainage on dressing
- Clients using an incentive spirometer should inhale _____ through the
mouthpiece while keeping the ball _______? - - Deeply afloat
- How often should SCDs be on the patient? - - Anytime they are in bed
- Can immunocompromise patients have artificial nails? - - No
- Pale, red, watery drainage is defined as: - - Serosanguinous
- Three early symptoms of septic shock? - - Tachycardia
Fever
Tachypnea
- Who is responsible for obtaining surgical informed consent? - -
Provider/surgeon
- Non-from a logical pain treatment: - - Hot/cold
-Reposition
-Distraction
-Herbals
-Massage
- Nurse practice act as what type of law? - - Statutory
- Best way to prevent cross contamination? - - Hand hygiene
- What is the primary purpose of the PACU? - - Ongoing evaluation and
stabilization of client
- Priority assessment, and immediate post care phase? - - Airway
- Priority assessment after epidural? - - Blood pressure
- Client had abdominal surgery 10 hours ago. What finding should be
reported?
-30ml of green emesis
-Pain, 5/10
-no urine output since surgery
-Strong cough - - No urine output since surgery
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