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ASPANmrecommendationsmformPhasemImmonitoringmincludemtakingmvitalmsignsmatmwhatmdurationmin
mminutes?
a.m5
b.m10
c.m15
d.m30m-mCORRECTmANSWERmC.m15
WhenmshouldmreportmtomthemPACUmnursemoccur?
a.mImmediatelymonmpatientmarrivalmtomthemPACU
b.mOncemanmassessmentmhasmbeenmdone
c.mOncemthemanesthesiologistmismfinishedmcharting
d.mOncemthempatientmismdeemedmstablem-
mCORRECTmANSWERmd.mOncemthempatientmismdeemedmstable
AORN'smguidancemstatementmformpatientmtransfermrecommendsmthatmthemPACUmnursemreceivemre
portmoncemthempatientmhasmbeenmdeemedmstable.
,Ampatientmwithmdiabetes,mmildmhypertension,mandmampacemakermwillmlikelymbemassignedmwhatmAS
Amlevel?
a.mASAmI
b.mASAmII
c.mASAmIII
d.mASAmIVm-mCORRECTmANSWERmc.mASAmIII
ASAmIIImrefersmtomampatientmwithmamnon-
incapacitatingmseveremsystemicmdisease.mIfmthismpatientmonlymhadmmildmcontrolledmdiabetesmandm
hypertension,mtheirmclassificationmismASAmII.mIfmthempatient'smseveremsystemicmillnessmcausedmamco
nstantmthreatmtomlife,mthenmtheymwouldmbemclassifiedmasmASAmIV.
Themnursemismteachingmthempatientmmethodsmformat-
homempainmcontrol.mWhenmismthembestmtimemtomtakemopioidmpainmmedication?
a.mWhenmthempainmlevelmismatm3
b.mWhenmthempainmlevelmismatm6
c.mExactlymeverym4mhoursminmthemfirstm24mhoursmpostmoperatively
d.mAsmsoonmasmthempainmstartsmtomincreasem-
mCORRECTmANSWERmd.mAsmsoonmasmthempainmstartsmtomincrease
Themnursemshouldminstructmthempatientmtomtakempainmmedicationmwhenmthempainmbeginsmtomincre
ase.mTakingmopioidmmedicationmasmneededmandmasmprescribedmwillmhelpmpreventmthempatientmfro
mmbecomingmaddictedmtomit.
ThempatientmismreceivedmfrommthemORmaftermundergoingmamvaginalmslingmprocedure.mThemreportmis
masmfollows:mThempatientmreceivedmmetoclopramidempreoperatively.mGeneralmanesthesiamdelivere
dmwithoutmcomplication.mInductionmbympropofolmfollowedmbymsevoflurane.mIVmondansetron,mfent
anyl,mandmneostigminemdeliveredmpriormtomPACUmarrival.mExtubationmwithoutmevent.mThempatientm
ismputmonmO2matm2mLPMmviamNC.mBPm=m136/84,mPm=m42,mRRm=m14,mOxygenmsaturationm=m95%.mThem
nursemknowsmthatmthembradycardiamismmostmlikelymrelatedmtomwhichmmedications?
,a.mSevofluranemandmneostigmineminteraction
b.mSevoflurane,mpropofol,mandmfentanylminteraction
c.mMetoclopramidemandmneostigmineminteraction
d.mMetoclopramidemsevoflurane,mandmneostigminemreactionm-
mCORRECTmANSWERma.mSevofluranemandmneostigmineminteraction
NeostigminemismusedmformmusclemrelaxantmreversalminmthemORmsetting.mAsmamsidemeffectmitmslowsmt
hemheartmratembyminterferingmwithmthembreakdownmofmacetylcholine.mCombinedmwithmvolatilemane
sthetics,mitmcanmcausemjunctionalmbradycardia.mTreatmentmincludesmatropinemandmtranscutaneous
mpacingmifmindicated.
Themnursemismevaluatingmthempatientmwhomunderwentmcoronarymarterymbypassmgraftm(CABG)msurg
erymformearlymextubation.mThempatientmcurrentlymhasmamPO2mofm85mmmHg,mFIO2mofm30%,mPCO2mof
m43mmmmHg,mpHm7.39,mSaO2mofm97%,mmaximumminspiratorympressurem-
20,mandmminutemvolumem7mL/min.mWhichmstatementmismtruemaboutmthempatient'smreadinessmforme
xtubation?
a.mThempatientmismnotmreadymtomextubate.
b.mThempatientmismreadymtomextubate.
c.mThempatientmismreadymtommovemtomonmdemandmventilation
d.m.Thempatientmshouldmbemtakenmoffmthemventilatormbutmnotmextubated.m-
mCORRECTmANSWERmb.mThempatientmismreadymtomextubate.
Thempatientmismreadymtombemextubatedmwhen:mPO2mgreatermthanm80mmmmHg,mFIO2mism0.40mormless
,mPCO2mismlessmthanm45mmmmHg,mpHmismbetweenm7.35m-
7.45,mSaO2mismgreatermthanm92%,mmaximumminspiratorympressuremlessmthanm-
20,mandmminutemvolumemismgreatermthanm5mL/min.mEarlymextubationminmpatientmaftermCABGmsurge
rymcanmimprovemoutcomes.
Whichmofmthemfollowingmmedications/anestheticmgasesmhasmnomeffectmonmuterinemtone?
a.mKetamine
, b.mNitrousmoxide
c.mDesflurane
d.mMethohexitalm-mCORRECTmANSWERmb.mNitrousmoxide
Nitrousmoxidemdoesmnotmhavemknownmeffectsmonmuterinemtone,mwhichmismwhymitmismusedmasmanman
estheticmadjunctminmsomemlabormandmdeliverymunits.
AmpatientmmustmachievematmleastmwhichmnumbermonmthemAldretemscorembeforembeingmdischarged?
a.m4
b.m6
c.m8
d.m10m-mCORRECTmANSWERmc.m8
Althoughmfacilitympoliciesmmaymvary,mmostmpatientsmshouldmachievematmleastmanm8mormhighermonmt
hemAldretemscorembeforemdischargemshouldmoccur.
WhichmofmthemfollowingmbestmdescribesmthemnursingmrolesmformthemnursemcaringmformpatientsminmP
ostanesthesiamPhasemII?
a.mFocusmonmbasicmlife-sustainingmneedsmwithmconstantmvigilancemrequiredmduringmthismphase.
b.mFocusmonmpreparationmformcareminmthemhomemormanmextendedmcaremenvironment.
c.mFocusmonmprovidingmcaremwhenmextendedmobservation/interventionmaftermdischargemismrequire
d.
d.mFocusmonmpreparingmthempatientmformtheirmsurgicalmprocedure.m-
mCORRECTmANSWERmb.mFocusmonmpreparationmformcareminmthemhomemormanmextendedmcaremenvir
onment.