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NURS 6901 TEST 4; QUESTIONS AND VERIFIED ANSWERS

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NURS 6901 TEST 4; QUESTIONS AND VERIFIED ANSWERS...

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  • August 8, 2024
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NURS 6901 TEST 4; QUESTIONS AND
VERIFIED ANSWERS


What does unilateral damage to the RLN sound like? - ANSWER Hoarseness, +/-
stridor

What does bilateral damage to the RLN sound like? - ANSWER Aphonia,
respiratory distress possible

How do you do succ in an obese individual? - ANSWER You dose it based on
TBW (due to the increased amount of pseudocholinesterase)

How do you dose Roc in an obese individual? - ANSWER You dose it based on
IBW/LBW (it is water soluble, obese individuals have lower water volumes)

How do you dose propofol in an obese individual? - ANSWER Induction doses are
based on IBW, maintenance doses is based on TBW

What is the ventilatory strategy for someone with obstructive lung disease? -
ANSWER These individuals have a harder time getting air out, so you want to
decrease their I:E ratio to 1:2.5-3

What is the risk of a retrobulbar block? - ANSWER Severe bradycardia

How do you mitigate severe bradycardia in a retrobulbar block? - ANSWER
Pre-administer an anticholinergic??

What are the nerves (and limbs) affected with a retrobulbar block? - ANSWER
Five and dime reflex

CN V (Trigeminal): Afferent

CN C (Vagus): Efferent

What should you consider about N2O? - ANSWER N2O is 34x more soluble than
nitrogen and will cause volume to expand

What are the electrolyte complications associated w/ a

, parathyroidectomy/thyroidectomy? - ANSWER Hypocalcemia! (Ca less than 6)

Symptoms include:

-Paresthesia

-Seizures/tetany

-Hypotension

-EKG changes (prolonged QT, arrhythmias)

-Chvostek's sign

-Trousseau's sign

How do you treat or prevent hypocalcemia in a thyroidectomy/parathyroidectomy?
- ANSWER Serial calcium levels

Calcium gluc vs Ca Cl

Re-implantation of parathyroid

Calcium supplements

What is an important consideration for induction with
thyroidectomy/parathyroidectomy? - ANSWER 1. Do not paralyze the patient, the
surgeon will want to test nerves/vocal cord movement

2. NIM tube

What is the timing of jet ventilation? - ANSWER Inspiration is 1 sec and expiration
should last at least 3 seconds

What is the psi for jet ventilation for an adult? - ANSWER Start at 20 psi and
increase until there is adequate inspiration/expiration

<50

What is the psi for jet ventilation for a child? - ANSWER Start at 5-10, increase
until there is adequate chest rise/inspiration and expiration

<30

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