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NUR 1006 Med-Surg Perioperative Exam Questions And Correct Answers
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NUR 1006 Med-Surg Perioperative Exam QuestionsAnd Correct Answers
What does creatinine measure? - ANSWER Kidney function
What is hemoglobin A1C? - ANSWER A percentage of how much glucose has attached to
your hemoglobin over three months
Why is a higher BMI risky for surgery? - ANSWER Wound healing problems, risk for
infection, more weight = more anesthesia = higher risk for toxicity, respiratory
depression because they have a harder time contracting the diaphragm
What post op complications can be caused by hypertension? - ANSWER Heart attack,
stroke, acute renal failure/injury
What post op complications can be caused by a history of smoking? - ANSWER
Respiratory complications, blood clots, infection and wound healing complications
What post op complications can be caused by sleep apnea? - ANSWER Respiratory
distress, cardiac problems, harder time being extubated, more sensitive to anesthesia
Why do corticosteroids need to be tapered off prior to surgery? - ANSWER They can
cause wound healing problems. They must be tapered off so they do not cause an
adrenal crisis.
When is moderate/conscious sedation used? - ANSWER Colonoscopy, EGD
What are three examples of medications used for moderate/conscious sedation? -
ANSWER Propofol, Midazolam, fentanyl
, What is the reversal agent for benzodiazepines? - ANSWER Flumazenil
True or false: Anesthesia causes vasodilation. - ANSWER True
Hypothermia is caused by a core body temp of less than ___ degrees - ANSWER 36.6 or
98
What is malignant hyperthermia? - ANSWER Severe genetic side effect from general
anesthesia
What are the signs and symptoms of malignant hyperthermia? - ANSWER Tachycardia,
muscular rigidity (jaw), dark urine due to rhambdomylosis, elevated temperature,
cyanosis, lactic acidosis
What is the reversal agent used for malignant hyperthermia? - ANSWER Dantrolene
Why would sodium bicarbonate be given to a patient experiencing malignant
hyperthermia? - ANSWER To treat metabolic acidosis
True or false: A patient experiencing malignant hyperthermia can become
hyperkalemic. - ANSWER True
What are volatile gases? - ANSWER Gases used for anesthesia.
What are expected post-operative findings? - ANSWER Slow return to orientation,
electrolyte imbalance, absent bowel sounds (for 4 hours post op), diminished lung
sounds in the bases, low grade fever or shivering, incision drainage and redness.
What are neutrophils? - ANSWER WBCs that are first responders to stress/infection
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