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Exam (elaborations)

CPSS Exam Questions And Accurate Answers (A+)

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CPSS Exam Questions And Accurate Answers (A+)...

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  • October 29, 2024
  • 26
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • cpss
  • cpss exam
  • CPSS
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CPSS Exam Questions And Accurate Answers (A+)


contraindications to I&D include

large, deep abscess

pulsatile mass at the site of infection

close proximity to neurovascular bundle

perirectal, periareolar abscesses, as they may be associated with fistulas



contraindications to IV catheterization include

active skin infection

distal to any area of thrombophlebitis

avoid LE IVs in elderly, PVD, venous insufficiency

history of mastectomy → do opposite side

history of IV complication

site of dialysis port



how is IV catheter size selected? ***

18 - 22 g = adults

24 - 26 g = neonates

22 - 26 g = infants & pediatrics

20 - 22 g = infusion of moderate amts of fluid

which resuscitation fluid is used to build intravascular volume & reduce edema?

colloids → albumin

what can rapid correction of hyponatremia lead to?

central pontine myelinolysis

what is a microdrip set?

,allows 60 drops (ggt)/mL through the drip chamber → ideal for medication admin / fluids
to a peds pt



what is a macrodrip set?



allows for 10-15 drops (ggt_/mL through the drip chamber → ideal for rapid fluid delivery
& maintenance fluids in adults



how is rate of infusion calculated?



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




if need to use hands for an IV site, which veins are preferred?

dorsal metacarpal veins



which vein for an IV has a close proximity to the median nerve, therefore risking injury?

basilic vein



complications of IV catheterization include ***

arterial puncture

bleeding

cellulitis

infiltration (catheter outside vessel)

phlebitis / thrombophlebitis

sepsis

catheter fragment embolism

, air embolism



contraindications to intubation include

blunt trauma of the larynx

penetrating trauma of the airway

hematoma / partial transection of airway




What do you do if unable to intubate in 30 seconds?

Remove the tube & ventilate pt. w/100% oxygen w/ a BVM w/face mask for 3-5 minutes
before attempting intubation again



If breath sounds post-intubation are diminished on one side, what should you suspect?

A right mainstem bronchus intubation has taken place



If, after intubation, symmetrical chest wall movement is not present, what should you
suspect?

a mainstem bronchus or esophageal intubation has occured

If air movement or gurgling is heard on auscultation following intubation, what should
you suspect?

intubation of the esophagus has occured

For what situation is a straight or intermittent catheter used?

good for obtaining sterile urine sample or intermittent drainage in patients w/neurogenic
bladder

Which type of catheter can be left in place for extended periods?

indwelling / foley catheter

What is an indwelling 3-way catheter used for?

continuous irrigation for patients w/hematuria or blood clots, drain urine

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