Ambulatory Care Nurse Certification Exam Study Guide, Exams of Pediatrics

Download Ambulatory Care Nurse Certification Exam Study Guide and more Exams Pediatrics in PDF only on Docsity! AMBULATORY CARE NURSE CERTIFICATION EXAM 2024/25 STUDY GUIDE WITH 100% CORRECTLY SOLVED ANSWERS. Ambulatory Care Nursing -- Answer ✔✔ complex, multi-faceted specialty that encompasses independent and collaborative practice based on nursing process -it is built on broad knowledge based on nursing and health sciences -use of evidence-based information based in clinical practice -focus on safe, quality care and improved patient outcomes -the role and functions of an RN -accountability for and autonomy in delivering ambulatory nursing services Defining Characteristics of Ambulatory Nursing -- Answer ✔✔ -nurse autonomy, critical reasoning, astute clinical judgement, nursing process -patient advocacy, ethics, holistic nursing care -assists and supports patients and families in optimal management of their health care -skillful, rapid nursing assessment, patient education, patient engagement -long term relationships that promote patient/family trust Characteristics of Ambulatory Care of Nursing Practice -- Answer ✔✔ - ambulatory care applies clinical expertise that is rooted in nursing practice -includes clinical, leadership, education, and research (EBP) process focused on individuals, groups, or populations who seek assistance with improving health and/or seek care for health-related problems based on patient safety and patient outcomes acute care -- Answer ✔✔ Treatment management: initiate, implement, observe by healthcare team Timing: admission to discharge ambulatory -- Answer ✔✔ Treatment management: treatment plan handled by patient Timing: individual intermittent, flexible period of time ambulatory care nursing -- Answer ✔✔ -encounter are episodic -less than 24 hours in duration -occur singly or in a series -encounter modalities happen via: -face to face -telehealth -email, patient portal, text messaging, video conferencing, smart phones, facetime, virtual clinics, biosensors, various apps patient -- Answer ✔✔ individual who requests or receives nursing services -unique, functions holistically, center of patient-nurse relationship environment -- Answer ✔✔ where ambulatory care nurses practice. Organizational, social, economic, legal, political within health care system and virtual ______ professional -- Answer ✔✔ dynamic, continually evolving in response to environmental needs, directions, and preferences, EBP, adherence to professional standards and ethics value. If the INR is elevated (<5) without evidence of bleeding, omitting a dose of warfarin may be effective; if the INR is excessively elevated (>5 to <9) without bleeding, up to two doses should be withheld. If severe bleeding occurs, then fresh frozen plasma with 10 mg of vitamin K may be administered. The temperature in operating rooms is usually maintained at: A. 60 F (16 C) to 65 F (18 C) B. 65 F (18 C) to 68 (20 C) C. 68 F (20 C) to 73 F (23 C) D. 70 F (21 C) to 76 F (24 C) -- Answer ✔✔ C. 68 F (20 C) to 73 F (23 C) The temperature in operating rooms is usually maintained at 68 F (20 C) to 73 F (23 C) to help prevent hypothermia while maintaining the comfort level for staff. The decontamination area is maintained cooler, at 60 F (16 C) to 65 F (18 C), to discourage the growth of microorganisms. Temperatures in the post- anesthesia care unit and cardiac cath lab are higher at 70 F (21 C) to 76 F (24 C). Humidity should be maintained between 20% and 60%. Humidity of 50% to 60% reduces the production of static electricity associated with electrosurgery. Which of the following federal agencies is responsible for regulating medical devices, such as respirators, to ensure that they are safe to use? A. EPA B. OSHA C. Centers for Disease Control and Prevention D. Food and Drug Administration -- Answer ✔✔ D. FDA FDA roles include: -regulating medical devices, such as respirators, to ensure that they are safe to use and that safety hazards are identified. -inspecting manufacturing facilities and conducting sampling and tests to ensure workers and the public are protected from electronic product radiation -ensuring that state standards meet minimum federal requirements -ensuring the safety of drugs, vaccines, and biological products -protecting employees who report violations of food/drug handling/production or refuse to participate in work-required violations The primary purpose of risk management is to: A. Define professional liability and minimize risks B. Negotiate settlements for malpractice and negligence C. Educate staff about risks D. Reduce costs -- Answer ✔✔ A. Define professional liability and minimize risks Ambulatory care nurses may be liable for improper administration of drugs, failing to follow standard medical procedures, failure to follow a physician's orders or take correct oral or verbal orders, failure to report changes in patient conditions or defective equipment, miscounting sponges/instruments/surgical equipment, avoidable injuries to patients from falls or burns, and mishandling of patient personal belongings. Which activity is an example of primary prevention? A. conducting contact tracing B. providing adequate housing C. providing facilities for job retraining D. providing rehab services -- Answer ✔✔ B. providing adequate housing Which activity is an example of secondary prevention? A. administering an inactivated poliovirus vaccine B. conducting screening tests for visual defects C. fitting a prosthetic limb D. providing a walker to prevent falls -- Answer ✔✔ B. conducting screening tests for visual defects What statement is the best example of using minimal cues during active listening? A. "Go on." B. "I know how that feels." C. "What do you mean?" D. Saying nothing. -- Answer ✔✔ A. "Go on."