TEST INSTRUCTIONS
* Read the article. The test for this nursing continuing professional development (NCPD) activity is to be taken online at http://www.nursingcenter.com/CE/AENJ. Tests can no longer be mailed or faxed.
* You'll need to create an account (it's free!) and log in to access My Planner before taking online tests. Your planner will keep track of all your Lippincott Professional Development online NCPD activities for you.
* There's only one correct answer for each question. A passing score for this test is 7 correct answers. If you pass, you can print your certificate of earned contact hours and access the answer key. If you fail, you have the option of taking the test again at no additional cost.
* For questions, contact Lippincott Professional Development: 1-800-787-8985.
* Registration deadline is December 6, 2024.
PROVIDER ACCREDITATION
Lippincott Professional Development will award 2.5 contact hours and 1.5 pharmacology contact hours for this nursing continuing professional development activity.
Lippincott Professional Development is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.5 contact hours. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida, CE Broker #50-1223. Your certificate is valid in all states.
Payment: The registration fee for this test is $24.95.
CE TEST QUESTIONS
Learning Outcome: Seventy-five percent of participants will demonstrate knowledge of a study conducted to ascertain the effect age might have on the propofol dose required during procedural sedation in the emergency department by achieving a minimum score of 70% on the outcomes-based posttest.
Learning Objectives: After completing this continuing professional development activity, the participant will be able to apply knowledge gained to:
1. Recognize the background information the authors considered when planning this study examining the effect age might have on propofol dosing for procedural sedation.
2. Identify the most common indication for procedural sedation with propofol among the study population.
3. Choose the results of the study that compared the propofol dosing requirements for procedural sedation of the two age groups.
4. Select the results of the study that compared the adverse effects of propofol in the two age groups.
1. According to Aminiahidashti et al. (2018) and others, patients who receive propofol alone, rather than in combination with other sedative agents, might be more likely to develop
a. apnea.
b. hypothermia.
c. metabolic alkalosis.
2. Among the 101 patients included in this study, by far the most common procedure type for which they received propofol was
a. abscess incision and drainage.
b. direct cardioversion.
c. joint reduction.
3. Compared with the 65-years-and-older age group in the authors' study, pain scores in the 18-64 years age group were
a. significantly lower.
b. significantly higher.
c. not significantly different.
4. Compared with the younger patients, those 65 years and older
a. required a significantly lower total weight-based propofol dose.
b. had lower opioid requirements prior to or during the procedure.
c. received significantly more propofol doses during the procedure.
5. Compared with the 65-years-and-older age group, the occurrence of adverse effects in the 18-64 years age group was
a. significantly more common.
b. significantly less common.
c. not significantly different.
6. The most common adverse effect of propofol in both age groups was
a. an end-tidal carbon dioxide of less than 30 mmHg.
b. a respiratory rate less than 12 breaths per minute.
c. nausea and/or vomiting.
7. Compared with patients who had a documented history of a substance abuse disorder, those without a history of substance abuse required a total weight-based propofol dose that was
a. significantly lower.
b. significantly higher.
c. not significantly different.
8. Based on recommendations by the 2018 Clinical Practice Guideline for Emergency Department Procedural Sedation with Propofol, the authors recommend for adults an initial propofol bolus dose of
a. 0.5 mg/kg with additional boluses of 0.5-1 mg/kg every 3-5 min as necessary.
b. 0.5-1 mg/kg with additional boluses of 0.25-0.5 mg/kg every 1-3 min as necessary.
c. 0.25-0.75 mg/kg with additional boluses of 0.25-0.75 mg/kg every 2-5 min as necessary.
9. The authors suggest that, compared with patients who are not obese, those who are obese require total body weight dosing that is
a. lower.
b. higher.
c. similar.
10. Schnider et al. (1999) determined that patients older than 65 years are more likely to lose consciousness at a serum concentration of propofol that is about
a. one quarter the dose at which younger patients would lose consciousness.
b. one third the dose at which younger patients would lose consciousness.
c. one half the dose at which younger patients would lose consciousness.