A 12 year old with known sickle cell disease and autism has undergone an inguinal hernia repair. The perianesthesia nurse is aware that the MAIN surgical risk to this patient is:
1. hypoxia from anesthesia.
2. end-organ damage.
3. renal insufficiency.
4. toxicity from heavy metal. - answer-1. h...
CPAN, CAPA CERT QUESTIONS
A 12 year old with known sickle cell disease and autism has undergone an inguinal
hernia repair. The perianesthesia nurse is aware that the MAIN surgical risk to this
patient is:
1. hypoxia from anesthesia.
2. end-organ damage.
3. renal insufficiency.
4. toxicity from heavy metal. - answer-1. hypoxia from anesthesia.
Domain: Physiological Needs
Content Area: Stability of Respiratory System
Reference: Hockenberry, M., Wilson, D. Wong's Nursing Care of Infants and Children.
10th Ed. CV. Mosby, 2015. pg 1348.
A patient arrives in Phase I PACU receiving oxygen by nasal cannula at 2 liters per
minute. The wave forms on pulse oximetry are initially normal with an oxygen
saturation of 100%. Ten minutes after arrival to Phase I the alarm is sounded and
the nurse notes that the monitor has stopped tracking the pulse. The perianesthesia
nurse should FIRST:
1. increase the oxygen flow rate to the nasal cannula.
2. move the probe from the finger to the earlobe.
3. encourage patient to cough and deep breathe.
4. evaluate the patient for adverse physiological changes. - answer-4. evaluate the
patient for adverse physiological changes.
Domain: Physiological Needs
Content Area: Stability of respiratory system
Reference: Odom-Forren, J. Drain's PeriAnesthesia Nursing: A Critical Care
Approach. 6th Ed. Elsevier Saunders, 2013. pg 357.
A patient in the PACU who received general anesthesia is awake and alert with
stable vital signs. When the perianesthesia nurse removes the patient's oxygen the
O2 saturation periodically drops to 88%. The perianestheisa nurse's next best action
is to:
1. notify the anesthesia provider
2. administer albuterol nebulizer
3. begin the stir-up regimen
4. perform chin lift - answer-3. begin the stir-up regimen
Domain: Physiological Needs
Content Area: Stability of respiratory system
Reference: Urden, L., et al. Thelan's Critical Care Nursing, Diagnosis and
Management, 7th Ed. Elsevier, 2014. pg 1103.
A patient with type 2 diabetes mellitus is admitted the day of surgery with a glucose
of 610 mg/dl. The perianesthesia nurse is aware that the patient may be at risk for:
1. diabetic ketoacidosis.
2. hypercalcemia.
3. diabetes insipidus.
4. hyperkalemia. - answer-1. DKA
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