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2024 PCCN ASSESSMENT OF PROGRESSIVE CARE PATIENTS AND THEIR FAMILIES CHAPTER 1EXAM WITH ANSWERS $18.99   Add to cart

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2024 PCCN ASSESSMENT OF PROGRESSIVE CARE PATIENTS AND THEIR FAMILIES CHAPTER 1EXAM WITH ANSWERS

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2024 PCCN ASSESSMENT OF PROGRESSIVE CARE PATIENTS AND THEIR FAMILIES CHAPTER 1EXAM WITH ANSWERS

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  • October 27, 2024
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  • 2024/2025
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2024 PCCN ASSESSMENT OF
PROGRESSIVE CARE PATIENTS
AND THEIR FAMILIES CHAPTER
1EXAM WITH ANSWERS



Why is assessment of acutely ill patients and their families essential? -
CORRECT-ANSWERSinformation obtained identifies immediate and future
needs so a plan of care can be initiated

Traditional approaches to Patient Assessment include: - CORRECT-ANSWERS-
include a complete evaluation of patient history
- comprehensive physical exam of all body systems

What FOUR factors are used to evaluate the nutritional status of a patient? -
CORRECT-ANSWERS-weight
-muscle tone
-condition of oral mucosa
-lab values (serum albumin; transferrin)

AUSCULTATION of the abdomen includes: - CORRECT-ANSWERS-bowel
sounds in all four quadrants
-characteristics and frequency
-adventitious sounds (friction rubs, bruits, hums)

How are BOWEL SOUNDS auscultated? - CORRECT-ANSWERS-clockwise
fashion in all four quadrants
-note frequency
-presence/absence of sounds

What are the FOUR ratings for bowel sounds? - CORRECT-ANSWERS-absent
-hypoactive
-normal
-hyperactive

Before noting ABSENT bowel sounds, a quadrant should be auscultated for
how long? - CORRECT-ANSWERS-60 - 90 seconds

PALPATION of the abdomen helps determine: - CORRECT-ANSWERS-areas of
fluid

,-rigidity
-tenderness
-pain
-guarding (rebound tenderness)

Why do you auscultate BEFORE palpation? - CORRECT-ANSWERS-palpation
may change frequency and character of the
peristaltic sounds

In a patient with GI drainage tubes, OBSERVE: - CORRECT-ANSWERS-location
-function
-characteristics of drainage
-validate proper placement
-ensure patency
-drainage/leakage around tubes

INSPECT emesis and stool for: - CORRECT-ANSWERS-occult blood

INSPECT ostomies for: - CORRECT-ANSWERS-location
-color of stoma
-peristomal skin condition
-type of drainage

Identify common DIAGNOSTIC tests pertinent to the hematologic system: -
CORRECT-ANSWERS-evaluation of RBC's
-coagulation studies

Diminished RBC's may affect: - CORRECT-ANSWERS-oxygen-carrying
capacity of the blood

Identify common S/Sx of anemia (diminished RBC's): - CORRECT-ANSWERS-
pallor
-cyanosis
-light-headedness
-tachypnea
-tachycardia

Insufficient clotting factors are evidenced by: - CORRECT-ANSWERS-bruising
-oozing from puncture sites/mucous membranes
-overt bleeding

Identify common DIAGNOSTIC tests pertinent to the immunologic system: -
CORRECT-ANSWERS-white blood cells (WBC's)
-differential counts

, List additional things that can be indicative of underlying infection? -
CORRECT-ANSWERS-puncture sites/mucous membranes for oozing drainage
-inflamed/reddened areas
-spiking or persistent low grade temp

INSPECTING the skin involves: - CORRECT-ANSWERS-head-to-toe, A - P, &
between skin folds skin integrity
-color, temp, turgor
-rashes, striae, discoloration, scars, lesions
-abrasions, pressure ulcers, wounds
-note size, depth, presence/absence of drainage

Name factors that can affect communication: - CORRECT-ANSWERS-culture
-developmental stage
-physical condition
-stress
-perception
-neurocognitive deficits
-emotional state
-language skills

What non-verbal clues can provide important information about the patient?
- CORRECT-ANSWERS-body gestures
-facial expressions
-eye movements
-involuntary movements
-changes in HR,BP and RR

Name the TWO ways anxiety is exhausting. - CORRECT-ANSWERS-
physhologically
-physiologically

Progressive care clinicians must balance: - CORRECT-ANSWERS-need to
gather data
-prioritizing and providing care

Collection of assessment data is obtained in: - CORRECT-ANSWERS-phased
or staged manner
-consistent with pt care priorities

What is the crucial element to developing competence in assessing
progressive care patients? - CORRECT-ANSWERS-consistent and systematic
approach

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