CCRN-Adult Practice Materials & CCRN-Adult Test Torrent & CCRN-Adult Pass King
CCRN-Adult Practice Materials & CCRN-Adult Test Torrent & CCRN-Adult Pass King
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Tags: Reliable CCRN-Adult Exam Blueprint, Valid Braindumps CCRN-Adult Questions, Reliable CCRN-Adult Test Pattern, CCRN-Adult Latest Study Guide, CCRN-Adult Top Dumps
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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q136-Q141):
NEW QUESTION # 136
A patient who had a liver resection now has a copious amount of serous drainage from the surgical incision.
Which of the following should a nurse anticipate when caring for this patient?
- A. preparing for an incision and debridement of the wound
- B. applying several abdominal dressings
- C. administering antibiotics
- D. applying a drainage pouch to the site
Answer: B
Explanation:
A copious amount of serous drainage from a liver resection incision may indicate a bile leak, which can cause pain, infection, and delayed healing. The nurse should anticipate applying several abdominal dressings to absorb the fluid and protect the wound. The nurse should also monitor the patient for signs of infection, such as fever, increased white blood cell count, and foul-smelling drainage. The nurse should notify the surgeon of the excessive drainage and follow the orders for further interventions, such as imaging studies, drainage catheter placement, or surgical repair. Antibiotics may be prescribed, but they are not the first-line treatment for a bile leak. Incision and debridement of the wound may be necessary if there is necrotic tissue or infection, but it is not the initial action. Applying a drainage pouch to the site may not be sufficient to contain the large amount of fluid and may increase the risk of skin breakdown.
References:
* Problems after cancer surgery to remove part of your liver: This article states that "The bile ducts connect the liver and gallbladder to the small bowel. There is a risk of bile leaking from the ducts on the cut surface of the liver. This may cause pain, sickness and a high temperature. Rarely, you might need another operation to repair the leak."
* Understanding Liver Abscess Treatment - Saint Luke's Health System: This article states that "The provider uses CT scan or ultrasound to help place the wire in the right spot. A thin, flexible tube (catheter) is then placed over the wire and into the abscess. The tube is left in place for 5 to 7 days to drain the fluid. In some cases, surgery may be done to cut into the liver abscess and drain it."
* How Much Time Does it Take to Recover from Liver Surgery?: This article states that "If you have any drainage from your incision or if the area around your incision is puffy or red, visit your surgeon. Take a shower every day with warm water. When you are ready to take solid foods, make sure to eat 4 to 6 small meals every day. Do not lift heavy weights for 8 weeks after your surgery."
NEW QUESTION # 137
A patient who is post repair of an abdominal aortic aneurysm should be monitored for which of the following complications?
- A. acute CVA
- B. acute renal failure
- C. atrial fibrillation
- D. acute hepatic dysfunction
Answer: B
Explanation:
Abdominal aortic aneurysm
An x-ray of a human body Description automatically generated
Acute renal failure is one of the possible complications of abdominal aortic aneurysm (AAA) repair, especially after open surgery. Acute renal failure is a sudden loss of kidney function that can cause fluid and electrolyte imbalance, acid-base disturbance, and uremic syndrome. Acute renal failure can occur due to several factors, such as hypoperfusion of the kidneys, atheroembolism, contrast-induced nephropathy, or ischemia-reperfusion injury12. The incidence of acute renal failure after AAA repair ranges from 2 to 25%, depending on the definition, the type of surgery, and the patient's risk factors13. Acute renal failure is associated with increased morbidity, mortality, and length of hospital stay after AAA repair13.
Other complications of AAA repair include bleeding, infection, wound complications, graft-related complications, bowel ischemia, spinal cord ischemia, and cardiac, pulmonary, or neurological events124.
Acute hepatic dysfunction, acute CVA, and atrial fibrillation are not specific complications of AAA repair, but they may occur in any major surgery or in patients with preexisting conditions.
NEW QUESTION # 138
The nurse is caring for a patient with neutropenia secondary to chemotherapy. When communicating dietary needs to the provider, the nurse should request which of the following to improve the patient's immune function?
- A. high carbohydrate diet
- B. low protein diet
- C. total parental nutrition
- D. nutritional supplements
Answer: D
Explanation:
Nutritional supplements are beneficial for patients with neutropenia secondary to chemotherapy, as they can help provide adequate calories, protein, vitamins, and minerals that are essential for immune function and tissue repair. Chemotherapy can cause side effects such as nausea, vomiting, loss of appetite, taste changes, and mouth sores, which can make it difficult for patients to eat enough food and meet their nutritional needs.
Nutritional supplements can be in the form of oral drinks, shakes, bars, or powders, or they can be administered through a feeding tube or intravenously. The nurse should request nutritional supplements that are appropriate for the patient's condition, preferences, and tolerance, and that are compatible with the neutropenic diet and food safety guidelines. The nurse should also monitor the patient's weight, hydration, and laboratory values, and report any signs of malnutrition, infection, or intolerance to the provider.
References:
* Nutrition for the Person With Cancer During Treatment: A Guide for Patients and Families: This article states that "Nutritional supplements are products that can be used to add nutrients to your diet or to lower your risk of health problems. They can be in pill, capsule, tablet, or liquid form. They might have vitamins, minerals, amino acids, herbs, or other substances. Some examples of common supplements are calcium, iron, omega-3 fatty acids, vitamin C, and vitamin D. You might need supplements if you cannot get enough nutrients from foods or if you have certain health conditions that might cause a deficiency, such as cancer, diabetes, or chronic diarrhea."
* Nutrition in Cancer Care (PDQ)-Patient Version: This article states that "Nutritional support is therapy for people who do not get enough nourishment by eating or drinking. You may need nutritional support if you have trouble swallowing, have lost your appetite, or are losing weight. Nutritional support can be given in different ways: Enteral nutrition is liquid food given through a tube (called a feeding tube) into the stomach or small intestine. Parenteral nutrition is a liquid mixture of nutrients given through a vein (intravenous or IV). Oral nutrition is food or liquid taken by mouth. This includes nutritional supplements, such as drinks, shakes, bars, or powders that have protein, carbohydrates, fat, vitamins, and minerals."
* Nutrition and Cancer: What You Need to Know: This article states that "Nutritional supplements can help you meet your calorie and protein needs when you are not able to eat enough food. They can also provide extra vitamins and minerals. There are many types of nutritional supplements, such as drinks, shakes, puddings, bars, and powders. Some are designed for people with cancer and have extra calories and protein. Your doctor, nurse, or dietitian can help you choose the best supplement for you. You can buy some supplements at the grocery store or pharmacy, but others may need a prescription."
NEW QUESTION # 139
A patient is intubated and receiving assist control mechanical ventilation and is on a norepinephrine drip following a head injury. Patient data are:
Which of the following interventions will improve cerebral perfusion?
- A. increasing the norepinephrine rate
- B. suctioning the airway
- C. administering prescribed acetaminophen
- D. requesting an ABG
Answer: C
NEW QUESTION # 140
A patient is admitted following a motor vehicle crash. A fluid challenge is initiated immediately after assessing a BP of 80/palpable. Fifteen minutes later, vital signs are as follows:
BP 86/50
HR 150
RR 36
The most appropriate action should be to
- A. request a CT scan of the chest.
- B. administer a vasopressor.
- C. administer a second fluid challenge.
- D. request an abdominal ultrasound.
Answer: C
NEW QUESTION # 141
......
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