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CPNE > Misc. CPNE > Flashcards

Misc. CPNE Flashcards

1
Q

Can “pain” be used as a care plan diagnosis?

A

No. Rather, use “impaired comfort”

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2
Q

Can a medical diagnosis (e.g. COPD, Pneumonia, CHF) be used as a care plan “related factor”?

A

Yes. However, procedures (e.g. Surgical procedures) cannot be used as “related factors”.

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3
Q

What are the 2 parts of the CPNE?

A
  1. Nursing Lab Simulation (NSL)

2. Patient Care Situation (PCS)

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4
Q

How much time is allowed for each NSL?

A

30 minutes

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5
Q

NSL #1 - sterile technique: what are the 3 possible procedures you may have to perform?

A
  1. Wound management
  2. Change PICC line dressing
  3. Insert intermittent urinary catheter
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6
Q

NSL #2 - Medication administration: what will this consist of?

A 
6 med's via 3 routes
Possible routes are:
1. PO
2. IVP
3. IV mini-bag (piggyback)
4. IM/SQ
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7
Q

How many NSL’s can you fail?

A

1

May repeat the next day

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8
Q

How much time is allotted for each PCS?

A

2.5 hrs

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9
Q

How many PCS’s can be failed?

A

1 adult
AND
1 Pediatric

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10
Q

How many PCS’s are required to pass?

A

2 adult

1 pediatric

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11
Q

What are the phases of each PCS?

A 
Multiple AOC's (areas of competency)
Per patient.  4 phases per PCS:
1. Planning
2. Implementation
3. Evaluation
4. Documentation
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12
Q

Where are needleless syringes disposed?

A

SHARPS!

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13
Q

Give some examples of how to make pt. more comfortable.

A

Temperature
TV
Pacifier
Pillow

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14
Q

What tool is used for assessing pressure sore risk?

A

Braden Scale
15-18: mild risk
12-14: moderate risk
<12: severe risk

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15
Q

What is the tool used for assessing fall risk?

A 
MORSE Fall Scale
0=no risk
<25=low risk
25-45=moderate risk
>45=high risk
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16
Q

Give 3 examples of nursing interventions for fall risk

A

Provide Non-skid socks
Keep Floors free of clutter
Provide hourly rounding

17
Q

List 4 interventions for pressure sores/risk for pressure sores.

A

Apply moisturizing lotion
Provide frequent position changes
Encourage oral fluids
Maintain specialty mattress

18
Q

What are the 2 pain assessment tools used for pediatrics?

A

FLACC: 2 months-3years
FACES: 3 years and up (can be used for adults if needed)

19
Q

Don’t overlook this vital sign for medication administration

A

Temp

20
Q

5 possible drainage devices

A 
Urinary cath
Chest tube
Ostomy bag
NG/OG tube
Surgical drain
21
Q

How is the medication AOC connected to the fluid Management AOC?

A

Must document amount of flush and mini-bag on fluid Management flow sheet

22
Q

How should a pt. be positioned for enteral feeding?

A

Upright or high fowlers during feeding and for 30 minutes after feeding.

23
Q

How should one mix medications that require reconstituting?

A

Roll, do not shake.

24
Q

How much volume can be administered IM to
Ventrogluteal (preferred)
Or
Vastus lateralis

A

3-4ml

Deltoid: no more than 1ml

25
Q

Define hypoactive bowel sounds

A

Less than 5/minute

26
Q

An extremely round/big belly could be called?

A

Protuberant

27
Q

What is the purpose of an abductor pillow?

A

Maintain proper alignment, support muscles and prevent hip dislocation.

28
Q

What is a clear liquid diet?

A

Any liquid you can see through, such as water, broth, or apple juice.

29
Q

What is CDM?

A

Clinical decision making - may need to use this (and document CDM) if you have to do something different.
e.g.- auscultation of lungs anteriorly

30
Q

Tissue descriptors

What is slough?

What is eschar?

A

Slough: Tan, yellow, gray, green, or brown necrotic tissue

Eschar: tan, black, or brown leathery necrotic tissue.

31
Q

What is a DTI?

A

Deep tissue injury - skin is still in-tact but underlying tissue is suspected to have significant injury.

32
Q

How is a pressure ulcer described when eschar impedes visualization of the wound bed?

A

Unstageable pressure ulcer

33
Q

Who can measure intake/output?

A

UAP

34
Q

Who can give oral meds?

A

LPN

CPNE (8 decks)

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