CPAN, CAPA CERT QUESTIONS WITH COMPLETE SOLUTIONS

The nurse providing conscious sedation to a patient: 1. will not have duties that interfere with monitoring of the patient. 2. may circulate as long as monitor alarms are set. 3. may administer propofol for short procedures. 4. may monitor ASA IV patients CORRECT ANSWER 1. Domain: Safety Needs Content Area: Protect patient from harm and take preventive measures related to the use of protective safety devices and equipment (including, but not limited to, padded side rails, safety straps, restraints) Reference: American Society of PeriAnesthesia Nurses. Perianesthesia Nursing Standards, Practice Recommendations, and Interpretive Statements . ASPAN, Cherry Hill, NJ, 2015. Pg 63. In caring for a patient at risk for noncardiogenic pulmonary edema, the perianesthesia nurse understands that the best method for prevention is to: 1. elevate head in high fowler's position. 2. maintain blood pressure below 180 systolic. 3. prevent fluid overload by limiting IV fluids in the elderly. 4. maintain airway and administer supplemental O2. CORRECT ANSWER A patient with type 2 diabetes mellitus is admitted the day of surgery with a glucose of 610 mg/dl. The perianesthesia nurse is aware that the patient may be at risk for: 1. diabetic ketoacidosis. 2. hypercalcemia. 3. diabetes insipidus. 4. hyperkalemia. CORRECT ANSWER 1. DKA Domain: Physiological Needs Content Area: Stability of Endocrine System Reference: Fleisher, L. and Roizen, M. Essence of Anesthesia Practice, 3rd Ed. Elsevier Health Sciences, December, 2011. Pg 122. The perianesthesia nurse is aware that which drug is contraindicated in the pregnant patient? 1. Acetaminophen 2. Famotidine 3. Ondansetron 4. Ketorolac CORRECT ANSWER 4. Ketolorac Domain: Physiological Needs Content Area: an appropriate medication regimen (including, but not limited to, minimal interruption of normal medication regimen, preemptive interventions) Reference: Hodgson, B., and Kizior, R. Saunders Nursing Drug Handbook 2015. Saunders (Elsevier), 2015. Pg 660-661 During discharge planning of a patient who has re