ARIZONA COLLEGE OF NURSING NUR 425
EXAM 1 ACTUAL QUESTION AND ANSWER
|ORIGINAL
What is Brudzinski's sign?
Sever neck stiffness causes the patients hips and knees to flex when the neck is flexed.
Signs and symptoms for shock?
1. Decreased BP
2. High HR
3. High RR
What is the goal of the PACU?
To safely allow the patient who has had anesthesia/sedation to awaken and resume normal
bodily functions while controlling/minimizing pain and preventing complications of surgery and
anesthesia
Who is at risk for nausea and vomiting?
1. Young non-smoking females
2. Previous motion sickness
Epilepticus
A seizure lasting more than 5 mins or repetitive seizures with no recovery time in between.
- Emergency response
Medication: Diazepam IV
Body position when you are having a seizure?
Side lying
Preop pt: · If pt is anxious, give therapeutic communication?
Tell them it is normal to be nervous
, What medication do you hold before surgery?
blood thinners
Blood thinner medication patient education
1. Stop 24-48hrs before
2. Takes 7-10 days for aspirin to wear off
3. Warfarin, Heparin, Lovenox
Labs for bleeding:
1. PT
2. PTT
3. INR
4. CBC
5. Hg
6. Hct
What if prelab work shows Hg 9?
Notify surgeon.
- May recommend pretreatment or ensure blood is on the floor
Treatments for excessive bleeding (can be due to medications):
1. Vitamin K
2. Protamine Sulfate
Nursing responsibilities for bleeding before surgery?
Types & cross
o Cross match pts blood type to avoid infusion reaction
EXAM 1 ACTUAL QUESTION AND ANSWER
|ORIGINAL
What is Brudzinski's sign?
Sever neck stiffness causes the patients hips and knees to flex when the neck is flexed.
Signs and symptoms for shock?
1. Decreased BP
2. High HR
3. High RR
What is the goal of the PACU?
To safely allow the patient who has had anesthesia/sedation to awaken and resume normal
bodily functions while controlling/minimizing pain and preventing complications of surgery and
anesthesia
Who is at risk for nausea and vomiting?
1. Young non-smoking females
2. Previous motion sickness
Epilepticus
A seizure lasting more than 5 mins or repetitive seizures with no recovery time in between.
- Emergency response
Medication: Diazepam IV
Body position when you are having a seizure?
Side lying
Preop pt: · If pt is anxious, give therapeutic communication?
Tell them it is normal to be nervous
, What medication do you hold before surgery?
blood thinners
Blood thinner medication patient education
1. Stop 24-48hrs before
2. Takes 7-10 days for aspirin to wear off
3. Warfarin, Heparin, Lovenox
Labs for bleeding:
1. PT
2. PTT
3. INR
4. CBC
5. Hg
6. Hct
What if prelab work shows Hg 9?
Notify surgeon.
- May recommend pretreatment or ensure blood is on the floor
Treatments for excessive bleeding (can be due to medications):
1. Vitamin K
2. Protamine Sulfate
Nursing responsibilities for bleeding before surgery?
Types & cross
o Cross match pts blood type to avoid infusion reaction
