Pdf CCRN-Adult Format - Training CCRN-Adult Solutions

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q380-Q385):

NEW QUESTION # 380
The ICU nurse is caring for a critically ill patient. The patient's daughter, a nurse in another hospital, insists on performing care tasks for her father. What is the appropriate response for the ICU nurse?

A. Allow the daughter to perform all tasks, as she is a nurse
B. Deny her involvement in care as it could create a legally compromising situation for the hospital
C. Verify the daughter is actually licensed as a nurse
D. Allow the daughter to be involved in the care to the extent permitted according to hospital policy

Answer: D

Explanation:
Any family member should be as involved in their family member's care as permitted and desired by the patient. Allow the daughter to be involved in the care to the extent permitted according to hospital policy, respecting both her professional knowledge and her role as a family member. It is important to ensure that the care provided is safe and adheres to hospital policy. Completely denying her involvement or letting her perform all tasks could interfere with appropriate care provision and breach professional boundaries. Verifying her licensure is not necessary, as care requiring a nursing license specifically will not be assignable to a family member while the patient is still hospitalized.

NEW QUESTION # 381
Which of the following is NOT considered a loop diuretic?

A. Furosemide (Lasix)
B. Bumetanide (Bumex)
C. Chlorothiazide (Diuril)
D. Torsemide (Demadex)

Answer: C

Explanation:
Diuril is not considered a loop diuretic. It is a thiazide diuretic and works by enhancing the excretion of sodium, chloride, and water by inhibiting the transport of sodium across the renal tubular epithelium in the cortical diluting segment of the nephron. It also increases the excretion of potassium and bicarbonate. Thiazide diuretics are used in the management of edema and hypertension.
Loop diuretics (Lasix, Bumex, and Demadex) are diuretics that act at the ascending loop of Henle in the kidney; they inhibit active transport of chloride and possibly sodium, resulting in enhanced excretion of sodium, chloride, potassium, hydrogen, magnesium, ammonium, and bicarbonate. Loop diuretics are usually used in the management of edema associated with HF (Heart Failure) or oliguric renal failure, as well as the management of hypertension.

NEW QUESTION # 382
A patient with type 2 diabetes mellitus (T2DM) has been admitted to the intensive care unit with sepsis, and is receiving an insulin infusion instead of the metformin that they usually take, to ensure better glucose control while hospitalized.
According to the American Diabetes Association (ADA) and the American Association of Clinical Endocrinologists (AACE), what is the blood glucose target range for this patient?

A. 150 to 170 mg/dL
B. 100 to 180 mg/dL
C. 140 to 180 mg/dL
D. 110 to 120 mg/dL

Answer: C

Explanation:
A patient who is on an oral hypoglycemic at home will often be placed on an insulin infusion during hospitalization for better control and management of blood glucose levels. The current recommendations support moderate control, rather than tight glucose control, for improved morbidity and mortality in the postsurgical cardiovascular patient population.
The ADA and the AACE jointly recommend a glucose target between 140 and 180 mg/dL in the critical care setting.
The Society of Critical Care Medicine (SCCM) recommends a more conservative blood glucose target of
150 to 180 mg/dL for critically ill patients.
In medical surgical units, the ADA/AACE recommends a blood glucose target between 100 and 180 mg/dL.

NEW QUESTION # 383
The family member of a patient who is receiving mechanical ventilation is to be taught suctioning. When developing a teaching plan, the nurse should first

A. encourage the family member to observe the procedure on other patients.
B. identify the areas in which the family member needs information and skills.
C. obtain written information about the procedure.
D. determine a schedule for demonstrating the technique.

Answer: B

Explanation:
The first step in developing a teaching plan is to assess the learner's needs, knowledge, and readiness to learn.
This will help the nurse tailor the teaching plan to the individual's learning style, preferences, and goals.
Obtaining written information, determining a schedule, and encouraging observation are all strategies that can be used later in the teaching plan, but they are not the first step.
References:
* AACN Essentials of Critical Care Nursing, Fourth Edition, page 18.
* Patient Education and Counseling, page 3.

NEW QUESTION # 384
Of the following drug classes, which is NOT indicated for the management of heart failure (HF)?

A. Selective beta-blocking agents
B. Nitrates
C. Angiotensin-converting enzyme (ACE) inhibitors
D. Calcium channel-blocking (CCBs) agents

Answer: D

Explanation:
CCBs should generally be avoided in patients with HF plus reduced ejection fraction since they provide no functional or mortality benefit, and some first generation agents may worsen outcomes. They have negative inotropic activity, and therefore, weaken the force of myocardial contractility.
First line drugs in the management of acute heart failure include:
* Nitrates: reduce oxygen consumption, dilate venous system, and relax arterial smooth muscle
* ACE inhibitors: decrease afterload, inhibit the renin-angiotensin-aldosterone system (RAAS), reducing fluid volume overload and remodeling of the left ventricle
* Beta-blockers: reduce the frequency of ventricular tachycardia and ventricular fibrillation, which are the most prevalent cause of death in heart failure patients

NEW QUESTION # 385
......

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Pdf CCRN-Adult Format - Training CCRN-Adult Solutions

CCRN-Adult Practice Dumps Materials: CCRN (Adult) - Direct Care Eligibility Pathway - CCRN-Adult Study Guide - TestKingIT

AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q380-Q385):

100% Pass Quiz AACN - CCRN-Adult - High-quality Pdf CCRN (Adult) - Direct Care Eligibility Pathway Format

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