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CPAN Questions And Answers WithVerified Solutions Already Passed !!!
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When educating the patient on what to expect during the administration of
spinal anesthesia, the perianesthesia nurse understands that the progression
of blockage occurs in the following order:
Answer: 3. autonomic, sensory, motor
After extubation of a patient, which of the following would be considered most
serious?
Answer: 3. Inspiratory stridor
Which of the following interventions would be used first to maintain adequate
perfusion and oxygen supply to cardiac muscles following hepatic surgery in a
patient with a history of coronary artery disease:
Answer: 1. Ensure a hemoglobin concentration ≥ 10 g.
The use of the pulse oximeter has become a routine part of PACU care. The
post anesthesia nurse may decide that oximetry monitoring is indicated when
the patient:
Answer: 4. is severely hypothermic.
The perianesthesia nurse is aware that a dramatic decrease in the calcium
may be caused by removal of the:
Answer: 3. parathyroid gland.
Tidal volume is most precisely defined as the amount of:
Answer: 2. gas passing into or out of the lungs in each respiratory cycle.
In caring for a preschool-aged child, the perianesthesia nurse is aware that the
child's primary cause of anxiety prior to surgery is:
Answer: 4. separation from parents.
One of the most frequent side effects of ketamine anesthesia is:
Answer: 1. hallucination.
,In providing preoperative teaching to a patient requesting spinal anesthesia,
the perianesthesia nurse is aware that an absolute contraindication for spinal
anesthesia is:
Answer: 1. patient refusal.
In administering flumazenil, the perianesthesia nurse is aware that it inhibits
the central effects of benzodiazepines by:
Answer: 1. competing for the receptor sites.
A pathological process that can interfere with accurate measurements of
SpO2 when using a pulse oximeter is:
Answer: 3. Raynaud's disease.
In the event that a pharmacologically paralyzed patient is inadvertently
extubated, the first priority of the PACU nurse is to:
Answer: 2. establish and maintain the airway and ventilation.
A PACU nurse identifies an increased number of postoperative infections and
utilizes a quality improvement tool to collect more data. When deficiencies are
noted in the Phase I area, the nurse next considers:
Answer: 2. presenting staff with an in-service on infection control.
A staff nurse denied a merit increase expresses vigorous support for
management and its policies instead of showing anger. The nurse's behavior is
characterized as:
Answer: 2. reaction formation.
A standard of practice for post anesthesia nursing is established by which
acceptable levels of nursing action?
Answer: 2. Specifying the nursing goal while defining appropriate nursing
measures
A PACU education/research committee should have three commitments,
which must include all of the following except:
Answer: 3. individual progress of each nurse.
The dissociative state attributed to ketamine anesthesia can be modified by
the administration of a/an:
Answer: 2. benzodiazepine.
,Following a hernia repair, a 3-month-old is admitted to the PACU positioned
on his side with a pacifier in his mouth. The airway becomes obstructed by the
tongue. The obstruction can be alleviated by:
Answer: 4. jaw thrust or chin lift
A post-op patient awaiting transport to a surgical floor is awake and responds
appropriately to commands. The perioperative nurse instructs the patient to
flex and extend his/her lower extremities; the purpose of this is to:
Answer: 2. prevent the complication of venous stasis.
A geriatric patient's advanced age puts them at an increased risk for post-
operative:
Answer: 2. hypothermia.
During emergence from general anesthesia, a patient exhibits rapidly
increasing symptoms of asthma. Vital signs are: BP = 190/100, HR = 144, R =
36, and SaO2 = 86%. The perianesthesia nurse anticipates giving which of the
following medications initially?
Answer: 2. Nebulized epinephrine
A patient with streptococcal group A pharyngitis arrives in Phase I PACU.
The perianesthesia nurse plans that the nurse to patient ratio should be:
Answer: 3. one nurse to one patient.
A 35-year-old patient arrives in the Phase I PACU crying and repeatedly asks,
"Can't my mother come in here with me?" The perianesthesia nurse:
Answer: 3. allows a brief visit at a time appropriate for patient, visitors, and
staff.
In a patient status post thyroidectomy, the perianesthesia nurse would
anticipate postoperative signs of thyrotoxic crisis to include:
Answer: 3. tachycardia.
Which of the following nursing interventions is most effective for a patient
with a history of postoperative nausea and vomiting?
Answer: 3. Prevention
A perianesthesia nurse is providing discharge instructions to a patient who
asks questions about the phenazopyridine prescription. The nurse explains
that it:
, Answer: 2. provides relief from urgency and burning sensation.
A patient in the PACU following hip arthroplasty complains of numbness to
toes of affected extremity. The patient has most likely sustained an injury to
the:
Answer: 1. peroneal nerve.
Surgery is scheduled for 0830. The patient reports drinking 6 ounces of water
at 0600 with medications. Following American Society of Anesthesiologists
(ASA) minimum fasting guidelines for n.p.o., the perianesthesia nurse:
Answer: 3. informs the patient that the case may be cancelled.
2 - ANSWER✔✔ A patient who speaks limited English is preparing for
gallbladder surgery. The perianesthesia nurse is aware that the appropriate
interpreter to utilize for this patient is:
1. an interpreter who is married to the patient's sister.
2. an interpreter who has a contract with the facility.
3. the patient's English-speaking husband.
4. the patient's bilingual significant other.
2 - ANSWER✔✔ A potential negative side effect of positive end-expiratory
pressure (PEEP) is:
1. alveolar collapse.
2. decreased intrapulmonary shunting.
3. increased cardiac output.
4. hypertension.
1 - ANSWER✔✔ A patient complains of dyspnea and chest pain after the insertion
of a central-line catheter. The patient's breath sounds are diminished. After
physician notification, the priority nursing action is to:
1. prepare for the insertion of a chest tube.
2. obtain an order for analgesic.
3. apply a positive-pressure airway ventilator.
4. prepare for immediate removal of the central line.
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