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AGACNP - NU 665 Advanced Practice Specialty Procedures & Skills - Updated Final Exam Guide 2024AGACNP - NU 665 Advanced Practice Specialty Procedures & Skills - Updated Final Exam Guide 2024AGACNP - NU 665 Advanced Practice Specialty Procedures & Skills - Updated Final Exam Guide 2024AGACNP - NU 665 Advanced Practice Specialty Procedures & Skills - Updated Final Exam Guide 2024
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Rationale: Thoracentesis is commonly performed to drain fluid from the pleural space in patients with pleural effusion.
Rationale: Subclavian vein access is preferred due to lower infection rates and reduced risk of thrombosis compared to jugular or femoral access.
Rationale: ABG sampling provides valuable information about a patient's respiratory and metabolic status, helping guide treatment in acute care settings.
Rationale: Pericardiocentesis is indicated in patients with pericarditis causing cardiac tamponade, a life-threatening condition requiring urgent intervention.
Rationale: NPWT maintains a moist wound environment, enhances granulation tissue formation, and promotes wound healing through controlled suction.
Rationale: TEE provides detailed images of cardiac structures with improved resolution and is valuable for assessing cardiac function and detecting pathology in acute care patients.
Rationale: Ultrasound is frequently used for vascular imaging in acute care due to its real-time visualization capabilities and non-invasive nature.
Rationale: Pneumothorax is a known complication of central line insertion due to inadvertent puncture of the pleura, leading to air entering the pleural space.
Rationale: Cricothyroidotomy provides a patent airway by creating a direct opening through the cricothyroid membrane in situations where conventional airway methods fail.
Rationale: IO access allows for rapid administration of fluids and medications directly into the bone marrow cavity, serving as an alternative route in patients with difficult venous access.
b) Respiratory rate > 10 breaths per minute c) Oxygen saturation < 90% d) pH < 7.
Rationale: A PaO2/FiO2 ratio < 300 mmHg indicates severe hypoxemia and is a key indicator for starting mechanical ventilation in patients with acute respiratory failure.
Rationale: MAP reflects the perfusion pressure in the arterial system and is calculated by adding twice the diastolic blood pressure to the systolic blood pressure, then dividing the sum by 3.
Rationale: Transvenous pacemaker insertion is used in acute care to provide temporary or permanent pacing for patients with hemodynamically unstable bradycardia or heart block.
Rationale: Paracentesis is indicated for draining ascitic fluid in patients with liver disease, heart failure, or other conditions causing significant abdominal fluid accumulation.
Rationale: Thrombophlebitis is a common complication of PICC placement, characterized by inflammation and thrombus formation in the vein where the catheter is inserted.
Rationale: Epidural catheters deliver opioids locally to provide effective pain relief for postoperative or chronic pain management in acute care settings.
Rationale: Inotropic agents enhance myocardial contractility and cardiac output, often used in acute heart failure management to improve hemodynamics in patients with reduced ejection fraction.
gurgling sounds Rationale: Auscultating for gurgling sounds and checking pH are methods to confirm correct NGT placement in the stomach, ensuring safe and effective enteral feeding.
Rationale: The GCS consists of three components – eye opening, verbal response, and motor response – used to assess a patient's level of consciousness and neurological function in acute care. Multiple Choice: Which of the following is a primary goal of acute care management? A) Preventive care B) Long-term rehabilitation C) Stabilization and treatment D) Palliative care
Rationale: Acute care management focuses on stabilizing and providing treatment for patients with urgent medical needs. Fill-in-the-Blank: The acronym FAST is used to assess patients suspected of having a stroke.
Rationale: FAST stands for Face, Arms, Speech, Time, and is a quick tool to assess potential stroke symptoms.
True/False: In acute care settings, advanced practitioners can independently diagnose and treat patients without physician oversight.
Rationale: Advanced practitioners in acute care settings work collaboratively with physicians and adhere to established protocols and guidelines. Multiple Choice: Which of the following is a common indicator of sepsis in acute care patients? A) Hypertension B) Bradycardia C) Hypothermia D) Tachypnea
Rationale: Tachypnea (rapid breathing) is a common sign of sepsis in acute care patients. Fill-in-the-Blank: The acronym ABCDE is used in acute care to prioritize patient assessment.
Rationale: Vasopressors are used to increase blood pressure in patients with hypotension. True/False: In acute care, the RACE acronym is used to remember the steps in performing cardiopulmonary resuscitation.
Rationale: The RACE acronym is commonly used in fire safety (Rescue, Alarm, Contain, Extinguish), not for CPR. Multiple Choice: Which of the following is a key principle of wound care management in acute care? A) Delayed debridement B) Infection promotion C) Moist wound healing D) Air exposure
Rationale: Moist wound healing is a key principle in wound care to promote healing and prevent infection.