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Two months following a surgical procedure, a patient is readmitted to the
preoperative area and states that they remember hearing music in the operating
room during their surgery. In reviewing the previous documentation, the
perianesthesia nurse notes that the patient received midazolam preoperatively.
When interviewing the patient, the perianesthesia nurse
1. may consider implementing the Modified Brice Questionnaire.
2. may consider implementing the STOP/BANG Questionnaire.
3. should inform the patient that they may have had an adverse reaction to the
midazolam
4. should reassure the patient that they were most likely were dreaming during
anesthesia.
1. may consider implementing the Modified Brice Questionnaire.
A patient with a history of Grand Mal seizures begins to have uncontrolled tonic-
clonic movements in the PACU. The perianesthesia nurse's primary responsibility
to the patient is to:
1. prevent injury and aspiration.
2. monitor for recurrent seizures.
3. administer IV phenytoin.
4. check serum anticonvulsant levels.
1. prevent injury and aspiration.
Which of the following patients is at the greatest risk of developing a latex
allergy?
1. History of allergy to bee venom
2. History of allergies to strawberries
3. Family history of Malignant Hyperthermia
4. History of spina bifida
4. History of spina bifida
A patient has undergone ORIF of a fractured tibia. The PACU nurse notices that
the patient's toes are extremely edematous. The patient complains of increased
pain unrelieved by analgesics. The PACU nurse should:
1. continue to administer analgesics until an effect is noted.
2. apply ice and elevate extremity.
3. suspect compartment syndrome and notify the physician immediately.
4. attribute the patient's condition to the surgical procedure.
3. suspect compartment syndrome and notify the physician immediately.
The most common causes of ventricular tachycardia in PACU are:
1. hypoxia, heart disease, or drug toxicity.
, 2. pain and anxiety.
3. nausea and vomiting.
4. hypovolemia and decreased kidney function.
1. hypoxia, heart disease, or drug toxicity.
When educating parents on the care of an infant who has undergone cleft lip
repair, the perianesthesia nurse emphasizes the importance of:
1. applying warm compresses to sutures.
2. minimizing crying and restraining arms.
3. keeping the infant NPO for 24 hours.
4. using a straw for feedings.
2. minimizing crying and restraining arms.
According to ASPAN minimum staffing recommendations, a phase II PACU would
be appropriately staffed with:
1. one med-surg RN and one phase II competent LPN.
2. one phase II competent RN and one med-surg LPN.
3. a single phase II competent RN.
4. a single med-surg competent RN.
2. one phase II competent RN and one med-surg LPN.
Intense shivering can increase heat production up to:
1. 10%
2. 50%
3. 100%
4. 500%
4. 500%
When providing discharge instructions for a patient who has undergone a
laparoscopic cholecystectomy, the perianesthesia nurse should encourage:
1. frequent ambulation.
2. regular tub baths.
3. application of warm compresses.
4. bed rest for 24 hours.
1. frequent ambulation.
A patient admitted to the PACU following appendectomy is 32 weeks pregnant.
The perianesthesia nurse notices an infrequent but regular contraction pattern on
the fetal monitor. The patient denies any discomfort. The priority action for care
should be to:
1. continue to monitor the patient.
2. notify the obstetrician.
3. palpate for bladder distention.
4. place the patient in the lateral decubitus position.
4. place the patient in the lateral decubitus position.