CAPA
Domain:Behavioral and Cognitive Needs
During preoperative screening, a 28-year- old male reports cocaine use. The
perianesthesia nurse informs the patient that cocaine use may cause:
1.significant vasodilation and decreased blood pressure.
2.depression of the central nervous system
3.myocardial ischemia with cardiovascular instability
4.postoperative hypotension and bradycardia
Content area: Impact of existing medical conditions (for example, diabetes, COPD,
hypertension) on current surgery/procedure
Reference: Fleisher, L. and Roizen, M. Essence of Anesthesia Practice, 3rd Ed.
Elsevier Health Sciences, December, 2011. Pg 596. - ANS-Answer
3. myocardial ischemia with cardiovascular instability.
CPAN
Domain: Behavioral and Cognitive Needs
A teaching plan based upon the developmental stage of a 9-year- old patient includes:
1. allowing the patient to assist with care.
2. restricting the use of diagrams.
3. internalizing previously learned values to focus on identity.
4. limiting the amount of communication techniques.
Content Area: Recognize and respect patient/family/significant other diversity (for
example, cultural, religious, physical, age-related, cognitive, and language differences)
Reference:American Society of PeriAnesthesia Nurses. Schick, L. and Windle, P.,
(Editors) Third Edition. Perianesthesia Nursing Core Curriculum - Preoperative, Phase I
and Phase II PACU Nursing. WB Saunders, St. Louis, MO., 2015. P 203, 206. -
ANS-Answer
1. allowing the patient to assist with care.