Prophecy PACU RN A v1
***WRONG (no idea what correct solution is)***
What drug is MOST powerful in higher airway emergencies? - ANS-A) Terbutaline
B) Nebulized albuterol
***WRONG***C) Humidified oxygen
D) Racemic epinephrine
***WRONG (very pressured)***
You are being concerned for a patient within the PACU who is receiving an interscalene
block for an upper extremity operation. When assessing the affected person, you discover
bilateral numbness of the chest and neck. What ought to you do NEXT? - ANS-A) Clamp the
infusion tubing
B) Stop the infusion pump
***WRONG***C) Double take a look at the pump settings
D) Provide supplemental oxygen
***WRONG***
A affected person in phase 2 recuperation has yet to urinate after surgery. You take the
affected person to the rest room, and they are still not able to void. What should you do
FIRST? - ANS-***WRONG***A) Offer the patient a cup of water
B) Perform a bladder test (probs correct)
C) Document unable to void
D) Obtain an order for a catheter
***WRONG***
In PACU, upon reviewing the order for a PCA, you have got a query about it. Who should
you contact? - ANS-***WRONG***A) Hospitalist
B) Anesthesiologist
C) Critical Care Intensivist
D) Surgeon
***WRONG***
There are 4 sufferers in PACU: a affected person who received surgery to restore their
maxilla bone fracture, a affected person convalescing from esophageal resection for
squamous cell most cancers, a affected person who's recuperating from surgical placement
of a tracheostomy, and a affected person who's getting better from Roux-en Y gastric bypass
surgical treatment. For which of the affected person is the insertion of a nasopharyngeal
airway contraindicated? - ANS-C) Maxilla bone fracture (probs accurate)
***WRONG*** D) Patient getting better from tracheostomy
***WRONG***
What mixture of medicines is an example of multi-modal pain control? - ANS-A) IV PCA
morphine with IV fentanyl
***WRONG***B) Oral morphine ER and IV morphine
, C) IV hydromorphone and IV acetaminophen (probs correct, one is opioid, different isn't
always)
D) IV hydromorphone and IV morphine
***WRONG***
What commands for care must you consist of when instructing a patient about their Penrose
drain? - ANS-***WORNG***A) You will have brilliant crimson drainage from the tube for
several days
B) Change your dressing 2 instances a day or while it becomes moist (very probs correct)
C) This drainage tube facilitates save you accumulation of bile
D) Remove the protection pin on the quit of the tube while you get domestic
***WRONG***
What is a physical manifestation of neuromuscular blockade (Roc, succinylcholine)? -
ANS-A) Decreased cognizance
B) Decreased pupillary light reflex
C) Decreased respiration attempt
***WRONG***D) Decreased sensation of pain
***WRONG***
What signal or symptom must you closely monitor for in a patient once they have neck
surgical procedure? - ANS-***WRONG***A) Severe Headache
B) Tracheal Deviation
C) Sudden disorientation
D) Pain at incision website online
***WRONG***
When setting up a morphine PCA pump for a five'10'' girl affected person convalescing from
hip surgical procedure who's forty nine years old, one hundred eighty lb, and has no records
of sleep apnea, what's an expected four-hr dose limit? - ANS-***WRONG**A) five mg
B) 20 mg (probs correct)
C) 3 mg
D) forty mg
***WRONG***
You are being concerned for a affected person in the PACU who was intubated and acquired
widespread anesthesia during surgical operation. Now extubated, the patient reviews feeling
ache in their the front enamel. Upon inspection, the teeth appears loose. What have to you
do? - ANS-A) Contact the anesthesia provider and ask them to look at the oral cavity (probs
accurate)
***WRONG***B) Review the preoperative documentation approximately the patient's
dentition
C) Secure the enamel via packing folded or rolled gauze around it
D) Contact the surgical crew and ask them to investigate the patient's throat
***WRONG***
***WRONG (no idea what correct solution is)***
What drug is MOST powerful in higher airway emergencies? - ANS-A) Terbutaline
B) Nebulized albuterol
***WRONG***C) Humidified oxygen
D) Racemic epinephrine
***WRONG (very pressured)***
You are being concerned for a patient within the PACU who is receiving an interscalene
block for an upper extremity operation. When assessing the affected person, you discover
bilateral numbness of the chest and neck. What ought to you do NEXT? - ANS-A) Clamp the
infusion tubing
B) Stop the infusion pump
***WRONG***C) Double take a look at the pump settings
D) Provide supplemental oxygen
***WRONG***
A affected person in phase 2 recuperation has yet to urinate after surgery. You take the
affected person to the rest room, and they are still not able to void. What should you do
FIRST? - ANS-***WRONG***A) Offer the patient a cup of water
B) Perform a bladder test (probs correct)
C) Document unable to void
D) Obtain an order for a catheter
***WRONG***
In PACU, upon reviewing the order for a PCA, you have got a query about it. Who should
you contact? - ANS-***WRONG***A) Hospitalist
B) Anesthesiologist
C) Critical Care Intensivist
D) Surgeon
***WRONG***
There are 4 sufferers in PACU: a affected person who received surgery to restore their
maxilla bone fracture, a affected person convalescing from esophageal resection for
squamous cell most cancers, a affected person who's recuperating from surgical placement
of a tracheostomy, and a affected person who's getting better from Roux-en Y gastric bypass
surgical treatment. For which of the affected person is the insertion of a nasopharyngeal
airway contraindicated? - ANS-C) Maxilla bone fracture (probs accurate)
***WRONG*** D) Patient getting better from tracheostomy
***WRONG***
What mixture of medicines is an example of multi-modal pain control? - ANS-A) IV PCA
morphine with IV fentanyl
***WRONG***B) Oral morphine ER and IV morphine
, C) IV hydromorphone and IV acetaminophen (probs correct, one is opioid, different isn't
always)
D) IV hydromorphone and IV morphine
***WRONG***
What commands for care must you consist of when instructing a patient about their Penrose
drain? - ANS-***WORNG***A) You will have brilliant crimson drainage from the tube for
several days
B) Change your dressing 2 instances a day or while it becomes moist (very probs correct)
C) This drainage tube facilitates save you accumulation of bile
D) Remove the protection pin on the quit of the tube while you get domestic
***WRONG***
What is a physical manifestation of neuromuscular blockade (Roc, succinylcholine)? -
ANS-A) Decreased cognizance
B) Decreased pupillary light reflex
C) Decreased respiration attempt
***WRONG***D) Decreased sensation of pain
***WRONG***
What signal or symptom must you closely monitor for in a patient once they have neck
surgical procedure? - ANS-***WRONG***A) Severe Headache
B) Tracheal Deviation
C) Sudden disorientation
D) Pain at incision website online
***WRONG***
When setting up a morphine PCA pump for a five'10'' girl affected person convalescing from
hip surgical procedure who's forty nine years old, one hundred eighty lb, and has no records
of sleep apnea, what's an expected four-hr dose limit? - ANS-***WRONG**A) five mg
B) 20 mg (probs correct)
C) 3 mg
D) forty mg
***WRONG***
You are being concerned for a affected person in the PACU who was intubated and acquired
widespread anesthesia during surgical operation. Now extubated, the patient reviews feeling
ache in their the front enamel. Upon inspection, the teeth appears loose. What have to you
do? - ANS-A) Contact the anesthesia provider and ask them to look at the oral cavity (probs
accurate)
***WRONG***B) Review the preoperative documentation approximately the patient's
dentition
C) Secure the enamel via packing folded or rolled gauze around it
D) Contact the surgical crew and ask them to investigate the patient's throat
***WRONG***
