NUR113 FINAL EXAM QUESTIONS
AND 100% CORRECT ANSWERS
\Q\.meds of concern with surgery - ANSWER-✔aspirin, NSAIDs, platelet
aggregators, pain meds (lower respirations), anti-hypertensives (shock), diabetic
meds
\Q\.herbal supplements - ANSWER-✔risk for bleeding (garlic, ginko, ginsing, vit e,
fish oil)
\Q\.latex allergy - ANSWER-✔if pt says they are allergic to egg, avacado, bananas,
kiwi could indicate this (needs to be the 1st surgery of the day)
\Q\.informed consent - ANSWER-✔nurse-witnesses, physician-obtains
\Q\.prophylactic antibiotics - ANSWER-✔ancef (prevent infection. must be started
started 30-60 min before, ask dr when to start) vancomycin, levaquin takes 2hrs to
infuse
\Q\.antiemetics - ANSWER-✔zofran. prevent prevent n/v
,\Q\.benzos - ANSWER-✔decrease anxiety. ex: valium, ativan
\Q\.beta blockers - ANSWER-✔(end in "lol") labetalol, metoprolol. lowers
MI/cardiac event given in HTN s/e hypoglycemia, erectile disfunction asthma
pts must get beta 1
\Q\.H2 receptor blocker - ANSWER-✔pepcid, zantac. lower gastric volume
\Q\.general anesthesia - ANSWER-✔*technique of choice* complete loss of
consciousnesses, given IV inhalation
REQUIRES ADVANCED AIRWAY
\Q\.regional anesthesia - ANSWER-✔local anesthetic injected into specific nerve.
loss of sensation w/o loss of consciousnesses ex: spinal block
\Q\.local anesthesia - ANSWER-✔loss of sensation w/o loss of consciousness.
topcal, opthalmic, nebulized, injectable ex: lidocaine, EMLA cream
\Q\.monitored anesthesia care (MAC) - ANSWER-✔pt remains responsive &
breaths w/o assistance. similar to general (given in smaller doses) may be used in
conjunction w/ local and regional. usually when pt takes alot of meds
\Q\.dissociative anesthesia - ANSWER-✔(ketamine, keltar) used in
asmatic/trauma pt to promote broncodilation (higher HR) given IV, IM *can
,causes hallucinations & nightmares* need to create a quiet environment
post op
\Q\.versed - ANSWER-✔reduces hallucinations associated w/ ketamine
\Q\.malignant hyperthermia - ANSWER-✔characterized by hyperthermia w/
rigidity of skeletal muscles & can result in death.
*temp- >104 degree*
*trigger- succinylcholine (anectine)*
*treatment- dantrolene (dantrium)*
\Q\.hypotension - ANSWER-✔systolic bp <90. place pt in trendelenburg. give
fluids (Bolus)
\Q\.pt w/ dysrhythmias - ANSWER-✔place on telemetry
\Q\.post-op complications - ANSWER-✔f&e imbalance (heart
problems) fluid retention (low urine output) fluid overload
(edema & crackles in lungs) VTE (lower perfusion) syncope
(fainting)
, \Q\.notify HCP/surgeon - ANSWER-✔systolic BP
<90 or >160 pulse <60 or >120 narrow pulse
pressure
BP decrease after several
reading change in rhythm
deviation from preop
readings
\Q\.emergence delirium - ANSWER-✔waking up wild from anesthesia
neruo alterations manifested by restlessness, agitation, disorientation, shouting,
thrashing
*cx hypoxia, anesthestic agents, bladder distention, pain, neuromuscular
blockage, ET tube
\Q\.hypothermia - ANSWER-✔temp <95 complications: bleeding, cardiac
events, impaired wound healing, altered drug metabolism
\Q\.indicated infection - ANSWER-✔fever after 48 hrs. fever first 48hr post op is
normal
\Q\.6-8hrs - ANSWER-✔pt should urinate _______________ after surgery. should
be at least 0.5 mL/kg/hr
AND 100% CORRECT ANSWERS
\Q\.meds of concern with surgery - ANSWER-✔aspirin, NSAIDs, platelet
aggregators, pain meds (lower respirations), anti-hypertensives (shock), diabetic
meds
\Q\.herbal supplements - ANSWER-✔risk for bleeding (garlic, ginko, ginsing, vit e,
fish oil)
\Q\.latex allergy - ANSWER-✔if pt says they are allergic to egg, avacado, bananas,
kiwi could indicate this (needs to be the 1st surgery of the day)
\Q\.informed consent - ANSWER-✔nurse-witnesses, physician-obtains
\Q\.prophylactic antibiotics - ANSWER-✔ancef (prevent infection. must be started
started 30-60 min before, ask dr when to start) vancomycin, levaquin takes 2hrs to
infuse
\Q\.antiemetics - ANSWER-✔zofran. prevent prevent n/v
,\Q\.benzos - ANSWER-✔decrease anxiety. ex: valium, ativan
\Q\.beta blockers - ANSWER-✔(end in "lol") labetalol, metoprolol. lowers
MI/cardiac event given in HTN s/e hypoglycemia, erectile disfunction asthma
pts must get beta 1
\Q\.H2 receptor blocker - ANSWER-✔pepcid, zantac. lower gastric volume
\Q\.general anesthesia - ANSWER-✔*technique of choice* complete loss of
consciousnesses, given IV inhalation
REQUIRES ADVANCED AIRWAY
\Q\.regional anesthesia - ANSWER-✔local anesthetic injected into specific nerve.
loss of sensation w/o loss of consciousnesses ex: spinal block
\Q\.local anesthesia - ANSWER-✔loss of sensation w/o loss of consciousness.
topcal, opthalmic, nebulized, injectable ex: lidocaine, EMLA cream
\Q\.monitored anesthesia care (MAC) - ANSWER-✔pt remains responsive &
breaths w/o assistance. similar to general (given in smaller doses) may be used in
conjunction w/ local and regional. usually when pt takes alot of meds
\Q\.dissociative anesthesia - ANSWER-✔(ketamine, keltar) used in
asmatic/trauma pt to promote broncodilation (higher HR) given IV, IM *can
,causes hallucinations & nightmares* need to create a quiet environment
post op
\Q\.versed - ANSWER-✔reduces hallucinations associated w/ ketamine
\Q\.malignant hyperthermia - ANSWER-✔characterized by hyperthermia w/
rigidity of skeletal muscles & can result in death.
*temp- >104 degree*
*trigger- succinylcholine (anectine)*
*treatment- dantrolene (dantrium)*
\Q\.hypotension - ANSWER-✔systolic bp <90. place pt in trendelenburg. give
fluids (Bolus)
\Q\.pt w/ dysrhythmias - ANSWER-✔place on telemetry
\Q\.post-op complications - ANSWER-✔f&e imbalance (heart
problems) fluid retention (low urine output) fluid overload
(edema & crackles in lungs) VTE (lower perfusion) syncope
(fainting)
, \Q\.notify HCP/surgeon - ANSWER-✔systolic BP
<90 or >160 pulse <60 or >120 narrow pulse
pressure
BP decrease after several
reading change in rhythm
deviation from preop
readings
\Q\.emergence delirium - ANSWER-✔waking up wild from anesthesia
neruo alterations manifested by restlessness, agitation, disorientation, shouting,
thrashing
*cx hypoxia, anesthestic agents, bladder distention, pain, neuromuscular
blockage, ET tube
\Q\.hypothermia - ANSWER-✔temp <95 complications: bleeding, cardiac
events, impaired wound healing, altered drug metabolism
\Q\.indicated infection - ANSWER-✔fever after 48 hrs. fever first 48hr post op is
normal
\Q\.6-8hrs - ANSWER-✔pt should urinate _______________ after surgery. should
be at least 0.5 mL/kg/hr
