Following inhalation anesthesia, a pt should be monitored for hypothermia or
hyperthermia. The PACU nurse is aware the regulation of temperature is
disrupted because of:
A. depressant effect on the hypothalamus
B. stimulating effect on the cerebral cortex
C. depressant effect on the cerebral cortex
D. stimulating effect on the hypothalamus - CORRECT-ANSWERSA.
depressant effect on the hypothalamus
During spinal and epidural anesthesia the pt's body temperature control
mechanisms are:
A. not effected
B. impaired in a way that promotes temperature fluctuation
C. impaired in a way that promotes hyperthermia
D. impaired in a way that promotes hypothermia - CORRECT-ANSWERSD.
impaired in a way that promotes hypothermia
The anesthetist indicates in the post operative report that the pt was
reversed with edrophonium and atropine. The reason for administering
atropine is:
A. decreases the likelihood of vomiting
B. promotes acetylcholine release
C. enhance the onset of neuromuscular reversal
D. minimize muscarinic stimulation - CORRECT-ANSWERSD. minimize
muscarinic stimulation
It is important for the perianesthesia nurse to understand that a child's
ability to classify and estimate pain normally develops around the age of:
A. 4-5 years old
B. 7-8 years old
C. 10-11 years old
D. 13 - 14 years old - CORRECT-ANSWERSA. 4-5 years old
The pt displays an understanding of the most effective way of preventing
infection by hands that are not visibly soiled in stating that:
A. non latex gloves must be used
B. hands must be washed with soap and water
C. fingernails must be free of nail polish
, D. an alcohol based gel must be used - CORRECT-ANSWERSD. an alcohol
based gel must be used
Which is correct regarding post operative shivering?
A. Increased O2 consumption, increased ventilatory requirements
B. Decreased O2 consumption, increased ventilatory requirements
C. Minor mechanism of heat production, prolonged PACU Phase 1 time
D. Need for close monitoring for hypotension and diffuse muscle aches -
CORRECT-ANSWERSA. Increased O2 consumption, increased ventilatory
requirements
The perianesthesia nurse is aware that a main focus for pre admission
assessment is to:
A. Evaluate fitness for anesthesia and surgery
B. Reduce the mortality and morbidity rate
C. Establish the necessity of the procedure
D. Order laboratory and other diagnostic tests - CORRECT-ANSWERSB.
Reduce the mortality and morbidity rate
To lessen vertigo, n/v immediately following tympanoplasty the
perianesthesia nurse would place the patient in which optimal position?
A. Semi fowlers @ 45 degrees
B. Lateral on the operated side
C. Position of comfort
D. Lateral on the unoperated side - CORRECT-ANSWERSD. Lateral on the
unoperated side
When caring for a diabetic patient, the major objective of the perianesthesia
nurse is to prevent:
A. Fluid volume excess
B. fluid volume deficit
C. Hyperglycemia
D. Hypoglycemia - CORRECT-ANSWERSD. Hypoglycemia
A pt. is admitted to the PACU after receiving anesthesia. The pt. is
tachypneic, has muscle rigidity, tachycardia and dysrhythmia. The
perianesthesia nurse suspects:
A. neuroleptic malignant syndrome
B. post operative hemorrhage
C. hypoxic brain damage
D. malignant hyperthermia - CORRECT-ANSWERSD. malignant hyperthermia
The pt. arrives in the PACU post stapedectomy, complaining vertigo. The
perianesthesia nurse notes that the pt.has packing retained within the ear.
The perianesthesia nurse:
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