The perianesthesia nurse is aware that discharge
instructions for a patient post-ureteral-stent insertion
should include preparing the patient to expect:
A. Mucuos plugs
B. Bladder distention
C. Pink urine
D. Groin pain Correct Answer C. Pink urine
The perianesthesia nurse is aware that the use of mental
images for stress and pain reduction is most effective
when:
A. A family member is present
B. The nurse describes scenarios
C. The patient has a history of chronic pain
D. The patient actively participates Correct Answer D. The
patient actively participates
Which of the following patients is most likely to experience
awareness under anesthesia?
A. A 5 year old undergoing a tonsillectomy
,B. A 15 year old undergoing a scheduled arthroscopic
knee procedure
C. A 30 year old undergoing an emergency surgery for a
compound fracture
D. A 70 year old undergoing a colectomy for colon cancer
Correct Answer C. A 30 year old undergoing an
emergency surgery for a compound fracture
During administration of bupivicaine locally, some of the
medication is accidentally administered IV. When the
patient develops ventricular arrhythmias, the
perianesthesia nurse anticipates the administration of:
A. Amiodarone
B. Diphenhydramine
C. Adenosine
D. Lidocaine Correct Answer A. Amiodarone
Anxious parents are at the bedside of a toddler who is
crying, kicking, and thrashing following bilateral
myringotomy with insertion of tympanostomy. The
perianesthesia nurse informs the parents that this
behavior is:
A. The emergence excitement phase after anesthesia
B. A temper tantrum often seen in toddlers
C. Associated with the surgical procedure
D. Uncommon in children of this age Correct Answer A.
The emergence excitement phase after anesthesia
,A patient with a history of alcoholism and tuberculosis is
on ventilator support after 2 hours. The patient received
incubating doses of succinylcholine, fentanyl, and
midazolam, and proposal infusion intraoperatively. The
perianesthesia nurse suspects:
A. Noncardiogenic pulmonary edema
B. Hypokalemia
C. Hypoglycemia
D. Plasma cholinesterase deficiency Correct Answer D.
Plasma cholinesterase deficiency
The perianesthesia nurse is aware that for a 9 year old
patient, the most appropriate preoperative teaching
approach focuses on:
A. Audiovisual material that explains what to expect
B. Avoiding unnecessary separation from the parent
C. Verbal explanations of what will happen
D. Instructions relayed to the parents Correct Answer A.
Audiovisual material that explains what to expect
A post-appendectomy patient suddenly goes into
supraventricular tachycardia. Vital signs are BP= 125/75,
HR 168, and RR= 16. The nurse anticipates administering:
A. Lidocaine
B. Propanolol
C. Esmolol
D. Adenosine Correct Answer D. Adenosine
, A patient arrives in the PACU following an ethmoidectomy
with a BP of 180/110. The nurse suspects that the
hypertension is due to intraoperative administration of:
A. Cocaine
B. Droperidol
C. Ondansetron
D. Desflurane Correct Answer A. Cocaine
Helps minimize post-op pain and intraop bleeding for sinus
surgeries
The perianesthesia nurse recognizes that the effective
pain management of any patient with pain should begin:
A. Initially in the PACU
B. During the preoperative assessment
C. With pain intensity scales for verbal patients only
D. 30minutes prior to discharge from the hospital Correct
Answer B. During the preoperative assessment
The perianesthesia nurse is aware that the primary goals
of patient education are to:
A. Get all paperwork completed
B. Decrease anxiety to facilitate understanding of
information
C. Make sure all discharge instructions are distributed
D. Ensure proper understanding of facility and fee incurred
Correct Answer B. Decrease anxiety to facilitate
understanding of information
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