CSC Patient Safety & Complication Management Flashcards
6 cards from real CSC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 CSC Patient Safety & Complication Management flashcards as text
Which scoring tool is most commonly used at the bedside to assess a patient's level of consciousness and recovery during moderate sedation?
Answer: Modified Aldrete Score or AVPU scale
The Modified Aldrete Score or AVPU (Alert, Voice, Pain, Unresponsive) scale is widely used to quantify post-sedation recovery and readiness for discharge.
A patient's SpO2 remains at 94% despite jaw thrust and 4 L/min O2 via nasal cannula. What is the NEXT escalation step?
Answer: Apply a non-rebreather mask and consider bag-valve-mask ventilation
If basic airway positioning and low-flow O2 are insufficient, escalating to a non-rebreather mask or bag-valve-mask ventilation is the appropriate next step before invasive airway management.
Which patient population requires the most conservative sedation dosing due to altered drug metabolism and increased sensitivity to CNS depressants?
Answer: Elderly patients (≥65 years)
Elderly patients have decreased hepatic and renal clearance, reduced plasma protein binding, and increased CNS sensitivity, all of which heighten their response to sedative agents.
After a moderate sedation procedure, which discharge instruction is MOST critical to provide to both the patient and their escort?
Answer: Do not drive, operate machinery, or make legal decisions for 24 hours
Residual sedative effects impair judgment and reaction time for up to 24 hours, making it essential that patients and escorts understand driving and decision-making restrictions.
What is the significance of documenting a patient's pre-procedure baseline level of consciousness before administering sedation?
Answer: It provides a reference to detect changes in neurological status during and after sedation
A baseline neurological assessment enables accurate comparison during and after sedation, allowing early detection of deterioration beyond expected sedation effects.
Which of the following best describes the role of the dedicated sedation monitoring nurse during a moderate sedation procedure?
Answer: Continuously monitor the patient, document assessments, and remain free from other responsibilities
The dedicated monitoring nurse must focus exclusively on patient assessment and documentation throughout the procedure, undistracted by other tasks, to ensure immediate recognition of complications.