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Exam ID : CNN
Exam Title : Certified Nephrology Nurse
Number of Questions : 150
Duration of exam : 3 hours
Passing Scores : 70%

The CNN exam consists of 150 questions and must be completed in three (3) hours. A correct response rate of no less than 70% is required to pass the exam.

Content Areas % of Test
Concepts of kidney disease 35%
Hemodialysis 30%
Peritoneal dialysis 20%
Transplant 10%
Acute therapies 5% (CRRT- SLEDD- apheresis- acute HD- acute PD)

1. Recognize pathologic processes and complications that occur with kidney disease and/or treatment modalities. (18%)
2. Select interventions appropriate to the pathologic processes and complications that occur with kidney disease and/or treatment modalities. (15%)
3. Apply physiologic and technical principles of renal replacement therapies. (10%)
4. Select appropriate teaching/learning strategies to educate client- family- other health professionals- and the public. (10%)
5. Select appropriate actions in administering medication(s) to the patient being treated for kidney disease. (12%)
6. Recognize the importance of an interdisciplinary approach to promote optimum functioning across the continuum of care. (7%)
7. Select interventions appropriate to the psychological and sociocultural effects of kidney disease. (6%)
8. Apply principles of infection control. (16%)
9. Recognize the importance of professional nursing practice in promoting patient outcomes (e.g.- staff development- quality improvement- consultation- and research). (6%)

The applicant must hold a full and unrestricted license as a registered nurse in the United States- or its territories. The applicant must have completed a minimum of 3-000 hours of experience in multiple areas of nephrology nursing within the three (3) years prior to application. If the applicant is working in an outpatient hemodialysis facility- at least 750 hours (25%) of the 3-000 hours of experience must also include one or more of the following:
Home hemodialysis.
Home peritoneal dialysis.
Inpatient acute kidney injury on kidney replacement therapy.
Inpatient critical care on kidney replacement therapy.
CKD management NOT on kidney replacement therapy.
Kidney transplant.
The applicant must possess a baccalaureate degree in nursing or a masters degree in nursing.
The applicant must have completed thirty (30) contact hours of approved continuing education credit in nephrology nursing within three (3) years prior to submitting the exam application.

Continuing education must be approved by one of the following:
Organizations accredited by the American Nurses Credentialing Center Commission on Accreditation (ANCC-COA) the credentialing body of the American Nurses Association.
The American Association of Critical-Care Nurses (AACN).
The Council of Continuing Education.
California- Florida- Iowa- Kansas- or Ohio State Boards of Nursing.
Please be aware that although programs may meet requirements set forth by other state boards of nursing- they may not meet the Nephrology Nursing Certification Commission criteria.

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weird device may also treatment hiccups, early look at suggests | CNN PDF Braindumps and PDF Download

a simple device could be the solution to a deeply annoying issue it is plagued humanity for millennia: the hiccups.

When a bout of hiccups strikes, the brain stem shoots signals to the diaphragm that trigger the muscle to contract and pull a gulp of air into the lungs; then the epiglottis, a flap of tissue behind the tongue, flips over to cowl the windpipe and triggers the characteristic "hic" sound that supply hiccups their identify, reside Science in the past said. The involuntary reflex may additionally serve some goal in fetuses and newborns, in that hiccups may additionally support instruct the brain regions and muscle tissue concerned in breath manage. however because the "hics" serve no obvious goal in older humans, at some aspect, they're normally just a nuisance.

a quick cyber web search generates a slew of domestic remedies for hiccups. one of the most foremost-time-honored tricks encompass protecting your breath, drinking water from the some distance facet of a tumbler and consuming a spoonful of granulated sugar, whereas some case reviews have recommended stranger treatments, comparable to rectal massages and orgasms. 

linked: Can a scare cure the hiccups?

however none of those solutions are backed by means of mighty scientific records, and the standard domestic remedies "are tormented by unclear instructions, inconsistent performance and negative effectiveness," researchers wrote in a brand new analyze, posted Friday (June 18) within the journal JAMA community Open. "there is a need for an easy and beneficial formula to stop hiccups," they wrote.

The examine's senior author, Dr. Ali Seifi, an affiliate professor of neurosurgery and the director of neurocritical care on the institution of Texas fitness Science middle at San Antonio, pointed out he noticed a necessity for a hiccup remedy whereas working in the intensive care unit. 

"Many sufferers with brain damage, stroke, and melanoma chemotherapy patients get hiccups on my ground," he told live Science in an email. as an instance, certainly one of his sufferers developed hiccups after present process neurosurgery and became increasingly pissed off because the nurses helped him via quite a few remedies, akin to consuming from the a ways side of a cup. just days later, Seifi received hiccups whereas offering a speech to medical students, and in that irritating second, he "actually determined that I should discover a particular, however fundamental answer," he referred to. 

So Seifi invented a device called the compelled inspiratory suction and swallow device, or FISST. (He has also patented the device and branded it beneath the slightly catchier name "HiccAway.") The gadget is a inflexible plastic tube with a mouthpiece on one conclusion and a drive valve on the different. The person operates the tool with the aid of putting it in a half-full glass of water, "forcefully" sucking water during the mouthpiece and then swallowing the liquid.

The act of sucking up the water stimulates the phrenic nerve, which sends motor indicators to the diaphragm, and the act of swallowing stimulates the vagus nerve, which helps manage unconscious activity of the digestive tract and connects to the epiglottis, Seifi noted. "Hypothetically, once they hold these two nerves busy with a special responsibility, they will have no time to debris up and generate hiccups," he stated.

When individuals use FISST, "the hiccups are continually anticipated to cease immediately in one to 2 makes an attempt," the crew wrote in their document. 

to position the device to the verify, the researchers ran a crowdfunding crusade in 2020 through which volunteers might receive a free FISST to are trying. In all, 249 members took half in the look at and accomplished questionnaires wherein they rated their journey on a scale from 1 to five, with 1 which means "strongly in want of domestic cures" and 5 that means "strongly in desire of FISST." The individuals additionally rated their satisfaction with the product, when it comes to its feasibility compared with domestic treatments. 

more than 69% of the participants reported having hiccups as a minimum as soon as a month, with most bouts of hiccups lasting under two hours. greater than ninety% of the members rated FISST as superior to home cures, when it comes to both effectiveness and feasibility. These rankings had been continually high inspite of a given participant's hiccup frequency or period. 

whereas the effects trace that FISST works superior than other hiccup-relieving tactics, the analyze is limited in that it relied on subjective score scales and lacked a manage community, meaning a gaggle of people who did not use the device, the authors cited. 

"Future stories will should examine the efficacy of FISST in randomized medical trials," wherein one group receives a sham machine, while the others verify the real one, they wrote. Seifi noted that the crew has already initiated such trials within the U.S., Japan and Switzerland.

originally posted on reside Science. 

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