Misc. CPNE Flashcards
Can “pain” be used as a care plan diagnosis?
No. Rather, use “impaired comfort”
Can a medical diagnosis (e.g. COPD, Pneumonia, CHF) be used as a care plan “related factor”?
Yes. However, procedures (e.g. Surgical procedures) cannot be used as “related factors”.
What are the 2 parts of the CPNE?
- Nursing Lab Simulation (NSL)
2. Patient Care Situation (PCS)
How much time is allowed for each NSL?
30 minutes
NSL #1 - sterile technique: what are the 3 possible procedures you may have to perform?
- Wound management
- Change PICC line dressing
- Insert intermittent urinary catheter
NSL #2 - Medication administration: what will this consist of?
6 med's via 3 routes Possible routes are: 1. PO 2. IVP 3. IV mini-bag (piggyback) 4. IM/SQ
How many NSL’s can you fail?
1
May repeat the next day
How much time is allotted for each PCS?
2.5 hrs
How many PCS’s can be failed?
1 adult
AND
1 Pediatric
How many PCS’s are required to pass?
2 adult
1 pediatric
What are the phases of each PCS?
Multiple AOC's (areas of competency) Per patient. 4 phases per PCS: 1. Planning 2. Implementation 3. Evaluation 4. Documentation
Where are needleless syringes disposed?
SHARPS!
Give some examples of how to make pt. more comfortable.
Temperature
TV
Pacifier
Pillow
What tool is used for assessing pressure sore risk?
Braden Scale
15-18: mild risk
12-14: moderate risk
<12: severe risk
What is the tool used for assessing fall risk?
MORSE Fall Scale 0=no risk <25=low risk 25-45=moderate risk >45=high risk
Give 3 examples of nursing interventions for fall risk
Provide Non-skid socks
Keep Floors free of clutter
Provide hourly rounding
List 4 interventions for pressure sores/risk for pressure sores.
Apply moisturizing lotion
Provide frequent position changes
Encourage oral fluids
Maintain specialty mattress
What are the 2 pain assessment tools used for pediatrics?
FLACC: 2 months-3years
FACES: 3 years and up (can be used for adults if needed)
Don’t overlook this vital sign for medication administration
Temp
5 possible drainage devices
Urinary cath Chest tube Ostomy bag NG/OG tube Surgical drain
How is the medication AOC connected to the fluid Management AOC?
Must document amount of flush and mini-bag on fluid Management flow sheet
How should a pt. be positioned for enteral feeding?
Upright or high fowlers during feeding and for 30 minutes after feeding.
How should one mix medications that require reconstituting?
Roll, do not shake.
How much volume can be administered IM to
Ventrogluteal (preferred)
Or
Vastus lateralis
3-4ml
Deltoid: no more than 1ml
