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PACU & CPAN CONTENT QUESTIONS & ANSWERS
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PACU & CPAN CONTENT QUESTIONS & ANSWERS
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PACU & CPAN CONTENT QUESTIONS &ANSWERS.
a 65 y.o male comes in for testing, scheduled for a radical prostatectomy in 3 days. He has a 45pk/yr of
smoking. He also has some medicines for "heart palpitations" Tests needed for this pt include: ANS -EKG,
hgb/hct, bmp, type&screen
the following statements about pain management apply: ANS -- preoperative discussion about pain
expectations/management can decrease anxiety
- discussion should start in the physician's office
- the patient has a role in his/her management of pain and comfort
the perianesthesia comprehensive health history includes all of the following except: ANS -vital signs
the perianestheisa nurse's goal of preoperative preparation for the patient is: ANS -- to decrease the
potential for complications
- reduce anxiety in the patient
- impart accurate and timely communication to the healthcare team
airway sounds associated with laryngospasm may include all of the following except: ANS -diminished
breath sounds
which of the following are included in respiratory assessment of the patient in the immediate
postoperative period ANS -- work of breathing
- CBC, chemistries, ABGs
- location of incision site
classic signs and symptoms associated with pneumothorax include: ANS -chest pain, tracheal shift,
dyspnea
,the dichrotic notch of the arterial waveform is associated with closure of the: ANS -aortic valve
the most common cause of PEA in the perianesthesia setting is hypovolemia ANS -true
risks and complications associated with central venous cannulation include: ANS -pneumothorax
the most common cause of decreased CVP in the pacu is: ANS -hypovolemia
opioids can cause pupillary constriction: ANS -true
the glasgow coma scale is the most reliable indicator of change in LOC and neurological status ANS -true
the normal value for ICP is: ANS -0 - 20
signs of increased icp include the following: ANS -- restlessness, bradycardia, increased systolic BP,
widening pulse pressure
the following position is appropriate for an infratentorial craniotomy patient: ANS -flat in bed
normal urine output is considered to be: ANS -0.5mL - 1.0 mL/kg/hr
volume output does not include: ANS -interstitial fluid shifts
when calculating urine output with continuous bladder irrigation: ANS -irrigant is subtracted from the
total output
one early sign of leaking from the anastomosis site following robotic-assisted prostatectomy is: ANS -
high volume output in the JP over a short period of time
,for the adult patient, an early sign of hypoventilation which can lead to hypoxia and cardiac arrest is:
ANS -slow, shallow respirations
the primary drugs used to reverse sedation and analgesia in moderate sedation are: ANS -naloxene and
flumazenil
patients receiving medication to achieve moderate sedation/analgesia must have venous access
maintained until discharge criteria are met: ANS -true
the highest priority of assessment is: ANS -oxygenation
the stage of anesthesia during which the patient is at most risk to harm themselves is: ANS -stage II:
delirium
recovery and emergency are dependent upon: ANS -- duration of anesthesia
- use of additional medications
- physical status of the patient
postoperative shivering due to intraoperative vasodilation is a consideration with: ANS -halothane
seizure activity may be enhanced by the administration of: ANS -enflurane
succinylcholine is: ANS -metabolized by plasma cholinesterase
factors that may contribute to a prolonged neuromuscular blockade are: ANS -- hypothermia
- acidosis
- renal or hepatic disease
blockade of nerve fibers by local anesthetic agents occurs in the following order: ANS -false
, in outpatient surgery, a patient has had a reversal agent in Phase I PACU. 20min later, the patient is
transferred to Phase II PACU. Suddenly, the patient is exhibiting the following signs and symptoms:
drowsy and unarousable, respirations are 8 and shallow, blood pressure is 90/60, and the heart rate is
58. the initial nursing management of this patient is the following: ANS -bag-valve-mask at 15L/min
the total body water in the normal adult is: ANS -70%
the perianesthesia nurse should discontinue the use of intravenous opioids when there is/are: ANS -
signs of an allergic reaction
when caring for the patient who has just had a lumbar epidural catheter placed, all of the following are
true except: ANS -continuous administration of the medication is appropriate with a dermatome level of
T3
it is safe and effective to use IV PCA administration in children older than 8 years of age provided they:
ANS -
factors influencing nausea and vomiting are either peripheral or central in origin. which of the following
are peripheral factors? ANS -major intra-abdominal surgery and premature oral intake of fluids
the best position for the prevention of aspiration is: ANS -head down and left lateral
malignant hyperthermia may be triggered by which agent ANS -succinylcholine
which of the following can mimic MH? ANS -- thyroid storm
- cocaine / ecstasy overdose
- sepsis
if a patient undergoing a major abdominal surgery is more likely to become hypothermic than another
patient having a ventral hernia repair and both surgeries take approximately two hours, what would be
the minimum ambient room temperature? ANS -68 deg farenheit
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