MCA 1 Exam 1 Practice Questions from
Discussion
What are the most common CV dx post-op? -
correct answer ✅Hypotension, Hypertension, and dysrhythmias
How will the RN assess for CV complications post-op? -
correct answer ✅Check vitals q15m, less frequent once pt is
stable.
ECG for pts with CV hx.
Check pulse, skin assessment, monitor for fluid retention, and
electrolyte imbalances.
What nursing interventions would be implemented for a pt with
hypotension post-operatively? -
correct answer ✅Start with O2 therapy, and IV fluid. Inspect
surgical incision for cause of volume loss.
What nursing interventions would the RN implement for a pt with
hypertension post-op? -
correct answer ✅Eliminate the cause of sympathetic nervous
system stimulation. (analgesics, assistance in voiding, and
correction of respiratory problems)
, MCA 1 Exam 1 Practice Questions from
Discussion
What must the RN consider for any new post-op pt who gets up for
the first time? -
correct answer ✅orthostatic hypotension (have a 2nd person in
case the pt starts to fall or faint.
How will the RN evaluate a pt after implementing post-op CV
interventions? -
correct answer ✅maintain I&O record
look at labs (electrolytes, and hematocrit)
manage IV therapy
What is malignant hyperthermia? -
correct answer ✅Rate autosomal dominant genetic disorder which
presents when combined with certain anesthetics (succinylcholine).
How often does malignant hyperthermia occur? -
correct answer ✅1/100,000, 50% of cases occur in pts <19yo,
mortality: 1-17%
What are the signs and symptoms of malignant hyperthermia? -
correct answer ✅tachycardia, tachypnea (early signs)
muscle contracture and rigidity
Discussion
What are the most common CV dx post-op? -
correct answer ✅Hypotension, Hypertension, and dysrhythmias
How will the RN assess for CV complications post-op? -
correct answer ✅Check vitals q15m, less frequent once pt is
stable.
ECG for pts with CV hx.
Check pulse, skin assessment, monitor for fluid retention, and
electrolyte imbalances.
What nursing interventions would be implemented for a pt with
hypotension post-operatively? -
correct answer ✅Start with O2 therapy, and IV fluid. Inspect
surgical incision for cause of volume loss.
What nursing interventions would the RN implement for a pt with
hypertension post-op? -
correct answer ✅Eliminate the cause of sympathetic nervous
system stimulation. (analgesics, assistance in voiding, and
correction of respiratory problems)
, MCA 1 Exam 1 Practice Questions from
Discussion
What must the RN consider for any new post-op pt who gets up for
the first time? -
correct answer ✅orthostatic hypotension (have a 2nd person in
case the pt starts to fall or faint.
How will the RN evaluate a pt after implementing post-op CV
interventions? -
correct answer ✅maintain I&O record
look at labs (electrolytes, and hematocrit)
manage IV therapy
What is malignant hyperthermia? -
correct answer ✅Rate autosomal dominant genetic disorder which
presents when combined with certain anesthetics (succinylcholine).
How often does malignant hyperthermia occur? -
correct answer ✅1/100,000, 50% of cases occur in pts <19yo,
mortality: 1-17%
What are the signs and symptoms of malignant hyperthermia? -
correct answer ✅tachycardia, tachypnea (early signs)
muscle contracture and rigidity
