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CPSS EXAM VERIFIED 100% CORRECT!!

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CPSS EXAM VERIFIED 100% CORRECT!!

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  • October 12, 2024
  • 68
  • 2024/2025
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142 Multiple choice questions

Term 1 of 142
which catheter can be left in place for extended periods?

indwelling / foley catheter




a mainstem bronchus or esophageal intubation has occurred

-upper outer arm
-upper back
-anterior thigh
-lower portion of abdomen



central pontine myelinolysis

Term 2 of 142
where is the femoral artery best palpated?

medial to the biceps tendon in the antecubital fossa w/the arm extended


2nd intercostal space, midclavicular line


just below the midpoint of the inguinal ligament

(volume in mL x drip set) / (time in mins) = gtts/min

,Term 3 of 142
what should ALWAYS be done before injecting anesthetics? ***

SubQ = 45-90
IM = 90
ID = 5-15 degrees


always aspirate to ensure you are not in a vessel


atelectasis → dec. breath sounds, tachypnea, tachycardia

pt is lethargic, confused, LP is required emergently

Term 4 of 142
where is an LP performed?

-L3-L4 or L4-L5

-L3-L4 is level w/the top of the iliac crests

a width of 5-10 mm apart and 3-4 mm from edge of wound, except for face (2-3 mm from
edge & 3-5 mm apart)

(volume in mL x drip set) / (time in mins) = gtts/min

in the axilla with the arm abducted and externally rotated

,Term 5 of 142
how is malignant hyperthermia treated? ***

day 21 until final wound healing → further connective tissue remodeling, wounds achieve
maximum strength as it matures

- simple interrupted → cut the suture leaving a 5-10 mm tail
-buried → cut short / right above knot


-avoids pseudohypoxemia → slows O2 consumption by WBCS & platelets, slows down gas
diffusion
-allows more time to analyze specimen

-IV dantrolene 2.5 mg/kg
-inc. ventilation to lower end tidal CO2
-cooling measures
-treat arrhythmias (avoid CCBs)

Term 6 of 142
what is post op fever defined as? ***

diphenhydramine

2nd intercostal space, midclavicular line


38॰C or 100.4॰F

just below the midpoint of the inguinal ligament

Term 7 of 142
what post-op days do "wonder drugs" cause fever?

passes through tissue easier, resists harboring bacteria


POD 7+ → drug related fever (sulfa drugs), central line infection, transfusion reactions

as the # of 0's increases, the diameter decreases
ex, 6-0 → 5-0 → 4-0..... 1 → 2 → 3


medications requiring slower absorption & longer duration of action (ex, insulin)

, Term 8 of 142
what is arterial blood gas sampling?

day 21 until final wound healing → further connective tissue remodeling, wounds achieve
maximum strength as it matures

a test used to measure the partial pressure of oxygen, carbon dioxide, acidity,
oxyhemoglobin saturation, and bicarb in arterial blood, typically obtained from the radial
artery

-observe serial tubes → bloody tap eventually clears, subarachnoid hemorrhage will not
-centrifuge 2-3 mL for 5 mins, examine supernatant → bloody tap will have clear
supernatant

an increased concentration of larger molecules & formed elements in blood, which may be
due to prolonged tourniquet application, massaging/squeezing/probing a site, long term
IV therapy, or sclerosed/occluded veins

Definition 9 of 142
-arterial puncture
-bleeding
-cellulitis
-infiltration (catheter outside vessel)
-phlebitis / thrombophlebitis
-sepsis
-catheter fragment embolism
-air embolism

complications of IV catheterization include ***

contraindications to I&D include

contraindications to intubation include

when is a long arm posterior / elbow splint used?

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