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Valid Braindumps CCRN-Adult Ebook & CCRN-Adult Valid Test Labs

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AACN CCRN-Adult Exam Syllabus Topics:

Topic
Details

Topic 3

PROFESSIONAL CARING & ETHICAL PRACTICE: This section assesses the skills of Clinical Nurse Leaders in professional caring and ethical practice. It covers advocacy and moral agency, highlighting the importance of representing patients' interests in healthcare decisions. The section also addresses caring practices that promote patient-centered care and response to diversity, ensuring that care is tailored to individual needs.

Topic 4

Facilitation of learning is emphasized, indicating the role of nurses in educating patients and families about health management. Collaboration is another key component, focusing on teamwork within healthcare settings to improve patient outcomes. Systems thinking is included to encourage understanding of how different components of healthcare interact. Finally, clinical inquiry is highlighted as a means to foster evidence-based practice and continuous improvement in patient care.

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q544-Q549):

NEW QUESTION # 544
A critical care nurse is providing teaching to a patient about a TAVR they are about to undergo. Which of the following statements made by the patient indicates the need for further teaching?

A. This surgery involves replacement of my aortic heart valves.
B. I will probably not have chest tubes for more than three days.
C. They will not need to open my chest to perform this surgery.
D. I will probably be discharged within a couple of days after this procedure.

Answer: B

Explanation:
A Transcatheter Aortic Valve Replacement (TAVR) involves replacement of the aortic valve using catheters inserted into the heart through blood vessels. Patients who undergo this procedure are likely to be discharged within a couple of days and will not require chest tubes like patients who undergo open heart surgery.

NEW QUESTION # 545
The critical care nurse suspects that a patient may be developing a thyrotoxic crisis. Which of the following considerations for this condition is CORRECT?

A. Thyrotoxic crisis is most likely to be seen in someone who was diagnosed with a thyroid disease at least 10 years previously
B. Synthroid is the main component of initial treatment
C. Emergency management includes immediate administration of beta-blockers
D. Thyrotoxic crisis is unlikely to be fatal, but can lead to unpleasant symptoms

Answer: C

Explanation:
Thyroid storm or thyrotoxic crisis is a life-threatening emergency with mortality up to 30% (highly likely to be fatal). It is a rare condition in developed countries, typically seen with undiagnosed or under- treated hyperthyroidism.
If a patient is experiencing this condition, emergency management involves immediate administration of beta-blockers (propranolol, esmolol) to blunt the sympathetic nervous system receptors, plus medications that block thyroid synthesis and release of more thyroid hormone (methimazole, propylthiouracil).
Synthroid is the main component of treating hypothyroidism; therefore, it would only exacerbate a thyrotoxic crisis.

NEW QUESTION # 546
Which of the following is MOST LIKELY to be a congenital condition?

A. Hypertrophic obstructive cardiomyopathy
B. Dilated cardiomyopathy
C. Restrictive cardiomyopathy
D. Infective endocarditis

Answer: A

Explanation:
Hypertrophic obstructive cardiomyopathy (HOCM) is considered a congenital cardiomyopathy. The diagnosis of HOCM is made if hypertrophy of the intraventricular septum is present.
Dilated cardiomyopathy is typically caused by coronary artery disease (CAD).
Restrictive cardiomyopathy is due to ventricular fibrosis, typically due to a pathological condition. It is the least common of the cardiomyopathies.
Infective endocarditis is an acquired valve disorder, often leading to gradual fibrotic changes of the valve and calcification of the valve cusps. Shortening of the chordate tendineae also may occur.

NEW QUESTION # 547
Which of the following is the primary carrier of oxygen to body tissues?

A. Red blood cells
B. Hemoglobin
C. Hematocrit
D. White blood cells

Answer: B

Explanation:
Hemoglobin is the primary carrier of oxygen to body tissues. As the number of red blood cells changes, so does the hemoglobin content. A decline in hemoglobin to a level as low as seven g/dL may be well- tolerated in some patients. In others, this decline can result in significant symptoms.

NEW QUESTION # 548
If a patient has a history of emphysema, which of the following values would MOST LIKELY be seen on Arterial Blood Gases (ABGs)?

A. PaCO2 50, HCO3 28
B. PaCO2 44, HCO3 25
C. PaCO2 40, HCO3 22
D. PaCO2 35, HCO3 32

Answer: A

Explanation:
In the patient with emphysema, a form of Chronic Obstructive Pulmonary Disease (COPD), there is a progressive destruction of the inner walls of the alveolar sacs, resulting in large blebs with a reduced surface area for gas exchange. Since there is a chronically restrictive state, the patient is generally in a state of hypercapnia (PaCO2 > 45 mmHg, HCO3 > 26 mEq/L). The kidneys attempt to compensate by increasing the amount of HCO3 in the body until normal or near-normal pH levels occur. This mechanism creates a compensated respiratory acidosis.

NEW QUESTION # 549
......

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