Perianesthesia Nursing Recent Questions with Detailed Verified Answers and Correct Answers Already Graded A+

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Perianesthesia Nursing Recent Questions with
Detailed Verified Answers and Correct Answers
Already Graded A+
Quiz: MH triggering agents

Ans: - Depolarizing muscle relaxants (succs)
- Volatile inhalation agents (iso/des/sevo-flurance)
- Quinidine



Quiz: MH onset

Ans: usually in <30 min from anesthesia start time (typically after pt receives
succs)



Quiz: MH Early Signs

Ans: Sinus tach, HTN, tachypnea
masseter spasm


all following increased ETCO2



Quiz: MH other signs

Ans: muscle rigidity, cola-colored urine, metabolic & respiratory acidosis
(late signs are rhabdo & hyperthermia)



Quiz: MH urine output goals

Ans: 2 mL/kg/hr




18:36:59

,Quiz: MH treatment (interventions)

Ans: - d/c triggering agent
- call for help
- rapidly ventilating pt's lungs w/ large tidal volumes with a BVM and o2
- active cooling by all available routes (d/c when body temp reaches 38C to
prevent hypothermia)



Quiz: MH treatment (medication)

Ans: Dantrolene
- muscle relaxant that inhibits further release of calcium in the skeletal
muscle
- dose: 2.5 mg/kg repeated PRN
- Reconstitution: 20mg per 60mL sterile water (use entire 60mL h2O)
- Adverse effects: muscle weakness, GI upset, ventilatory compromise,
phlebitis
- will be administered to treat any recurrence of MH symptoms for 48-72 hr
period



Quiz: MH - labs needed

Ans: CMP, CBC, PLT, ABG, CK, myoglobin, PT/PTT, fibrinogen, fibrin split
products



Quiz: Best approximation vs most accurate core temp

Ans: - best approximation core temp: oral temp
- most accurate core temp: PA catheter




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,Quiz: Adults 55 and over are at increased risk of unwanted

sedation/resp dep d/t reduction in:

Ans: - total body water
- overall body mass
- tissue perfusion
- drug metabolism and clearance from body



Quiz: Pasero opioid-induced sedation scale:

Ans: S: Sleeping, easy to arouse
1: awake and alert
2: slightly drowsy, easily aroused
3: frequently drowsy, drifting to sleep during conversation
4: somnolent (minimally responsive)



Quiz: Meds with extrapyrimidal symptoms (EPS) risk

Ans: chlorpromazine, reglan, haldol (can cause tardive dyskinesia)



Quiz: Pediatrics: normal BP

Ans: > or = 70 mmHg + (age in years x2)



Quiz: Pediatrics: normal maintenance fluid rate

Ans: 4-2-1 rule:
- 0-10kg: 4 mL/kg/hr
-10-20kg: 2 mL/kg/hr
>20kg: 1 mL/kg/hr




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, Quiz: Pediatrics: v-fib trx

Ans: defibrillate using 2 joules/kg



Quiz: Pediatrics: Sleeping infant HR

Ans: 90-160 bpm



Quiz: Pediatrics: caring for infants

Ans: - larynx is funnel-shaped and easily compressed
- less able to concentrate urine -> monitory fluids and lytes closely
- should be NPO from formula for at least 6 hours preop
- parental fears can transfer to infant
- posterior fontanel closes at 4 months



Quiz: Pediatrics: Cleft palate repair post-op positioning

Ans: semi-prone



Quiz: Pediatrics: pain presence in toddlers

Ans: Grimacing, agitation, rocking, rubbing, trying to run away



Quiz: Pediatrics: caring for preschoolers

Ans: - fear separation from parents / stranger anxiety
- respond well to being given choices
- use play, books and puppets to explain procedures
- speak in simple and concise sentences




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