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CARN Certification 1-27: Questions With Complete Solutions

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CARN Certification 1-27: Questions With Complete Solutions

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CARN Certification 1-27: Questions With Complete
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What occurs with the induction of Increased intracranial pressure
anesthesia using only nitrous oxide?


1. Increased intracranial pressure
2. Decreased cerebral blood flow Explanations: Induction with nitrous oxide is
3. Decreased intracranial pressure associated with elevated cerebral blood flow and
4. Cerebrovascular dilatation increased intracranial pressure. Nitrous oxide induces
intoxication, euphoria, dysphoria, spatial
disorientation, temporal disorientation, and reduced
pain sensitivity. Some users will have uncontrolled
vocalizations and muscle spasms. If pure nitrous
oxide is inhaled without oxygen, this can cause
oxygen deprivation resulting in hypotension,
syncope, and myocardial infarction. Long-term
exposure may cause vitamin B12 deficiency.
Symptoms of vitamin B12 deficiency include sensory
neuropathy, myelopathy, and encephalopathy.
Symptoms are treated with high doses of vitamin B12,
but recovery can be incomplete.

,A 45-year-old female comes in for her
wellness check-up. She has a 13-year-
old son who is going to be starting
high school next year, and she often
hears him and his friends discuss ways
to prepare for high school so they can
"fit in." The mother is concerned her
son may use drugs as he often talks
about "partying." She is most
concerned about marijuana use as it
was recently legalized in her home
state. She wants to know what she can
do to deter cannabis use by her son.
She denies any personal substance
use history. Her husband, who is the
boy's father, does not have any
substance use history either. Which of
the following is the correct response
to her question? Choices: 1. Parental
observation and opposition to
cannabis use have been shown to be
protective factors for cannabis use in
children
2. The risk of developing cannabis use
disorder in adolescents who
"experiment" with cannabis is very low
3. Cannabis is a

, A 45-year-old female comes in for her
wellness check-up. She has a 13-year-
old son who is going to be starting
high school next year, and she often
hears him and his friends discuss ways
to prepare for high school so they can
"fit in." The mother is concerned her
son may use drugs as he often talks
about "partying." She is most
concerned about marijuana use as it
was recently legalized in her home
state. She wants to know what she can
do to deter cannabis use by her son.
She denies any personal substance
use history. Her husband, who is the
boy's father, does not have any
substance use history either. Which of
the following is the correct response
to her question?

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