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  2. AACN Certification
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  4. AACN.PCCN.v2023-10-14.q106 Dumps
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Question 96

The following statements regarding pericardiocentesis are true except:

Correct Answer: A
Correct answer: This is a surgical procedure in which a section of the pericardium is removed in an effort to decrease pericardial pressure on the heart and to allow pericardial fluid to drain more readily A pericardiotomy or pericardial window is a surgical procedure in which a section of the pericardium is removed. A pericardiocentesis involves withdrawing fluid from the pericardial sac through a needle introduced sub-xiphoid.
Reference:
Burns, Suzanne
M. AACN Essentials of Progressive Care Nursing, Fourth Edition. Pg 480.
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Question 97

Which of the basic sensory pathways is most often assessed in the progressive care unit?

Correct Answer: D
Correct answer: Light touch
The three basic sensory pathways are:
* Pain/temperature
* Position/vibration
* Light touch
Reference:
Burns, Suzanne
M. AACN Essentials of Progressive Care Nursing, Fourth Edition. Pg 301.
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Question 98

Mrs. Smith, a 54-year-old housewife, was encouraged to exercise and role from side to side frequently while she was admitted in hospital. She was being given IV fluids and naso-gastric aspiration was done.
Moreover, she was nil per oral. What is she suffering from?

Correct Answer: C
Explanation: She is suffering from paralytic ileus because in this condition exercises and rolling from side to side help in increasing the bowel activity. Nasogastric aspiration helps in clearing the stomach of gastric contents and thus will help relieving the pressure.
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Question 99

One of the qualities of an expert nurse is her ability to collaborate with the interdisciplinary team as well as patients and their families. All of the following are qualities of an "expert" in collaboration except for:

Correct Answer: D
Explanation: The qualities of a nurse with "expert" collaborative qualities would have the qualities of serving as a role model and teacher, facilitating meetings and involvement in patient outcomes. While they are always ready to learn, the expert collaborator is NOT the teacher, NOT the one who needs assistance.
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Question 100

Bleeding located between the dura and the skull is a(n):

Correct Answer: D
Correct answer: Epidural hematoma
Bleeding located between the dura and the skull (above the dura) is an epidural hematoma.
An epidural hematoma is a primary brain injury and is often associated with skull fractures that lacerate an underlying artery. It is most common in the temporal region due to tearing of the middle meningeal artery.
A contusion is a cortical bruise caused when the brain impacts the inside of the skull. A subdural hematoma describes bleeding that accumulates below the dura. A subarachnoid hemorrhage describes bleeding into the subarachnoid space; these can result from trauma, aneurysm, or other vascular malformations.
Reference:
Burns, Suzanne
M. AACN Essentials of Progressive Care Nursing, Fourth Edition. Pg 495, 500-501.
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