CAPA Certification Exam question with correct answers

CAPA Certification Exam question with correct answers Glycopyrrolate - correct answer - Induction and intubation medication - Can cause photosensitivity Craniotomy Treatment (triple H's) - correct answer - hemodilution - hypertension - hypervolemia (this forces constricted blood vessels to dilate and perfuse tissue) Transverse Colostomy - correct answer soft stool typical stool odor stool damages the skin empties several times per day may or may not be at risk for fluid/electrolytes imbalances may irrigate sigmoid colostomy - correct answer - formed stool ileosotomy - correct answer - high up - liquid pasty stool Roux-en-Y gastric bypass - correct answer Small pouch created from stomach Part of small intestine (DUODENUM) bypassed Restriction and malabsorption Post-op Stroke symptoms - correct answer - double vision - headache - sudden dizziness Metoclopramide (Reglan) - correct answer - controls post-op NV - can have extrapyrmidal side effects like tardive dyskinesia Gastrectomy Interventions - correct answer - encourage deep breaths - and position shifts clonic seizure - correct answer repetitive jerking movements petit mal seizure - correct answer Also called absence attack. A seizure that is characterized by a spike-and-wave EEG and often involves a loss of awareness and inability to recall events surrounding the seizure. Tonic seizure - correct answer sustained muscle contraction Emergence excitement safety interventions - correct answer ok to use wrist restraints Shivering first interventions‍♀️ - correct answer - anticipate order for demerol (over warm blankets) Septic Shock/ Early Respiratory Distress - correct answer - Hyperventilation - Respiratory Alkalosis - Elevated Lactate Levels Interscalene nerve block - correct answer anesthetizes the brachial plexus as it passes through the scalene triangle. It is used to provide anethesia for the shoulder and upper arm. Nearly all patients will devleop transeint ipsilateral diaphragmatic parylasis due to involvment of the phrenic nerve roots as tehy pass through the interscalene sheath. Complication of rapid warming - correct answer Hypotension (rapid vasodilation can cause a drop in blood pressure) Hetastarch (Hespan) - correct answer - Volume expander, colloid - less expensive than blood - minimal co-ag effects - less likely to cause allergic reaction - metabolizes slowly Why are neonates not tolerant of fluid overload? - correct answer - obligate sodium loss - slow clearance of fluid - inability to conserve fluid Medication used to treat fluid overload/ ascites in patient with Cirrhosis - correct answer Spironolactone Steal syndrome - correct answer - Too much blood going to the fistula, leaving the hand ischemic. Tx is with surgery or banding to decrease outflow (if high flow) Infant should void - correct answer 5ml/Kg/hr or at least 2-3ml/Kg/hr Autonomic hyperreflexia (dysreflexia) - correct answer - Massive, uncompensated cardiovascular response to stimulation of the sympathetic nervous system Stimulation of the sensory receptors below the level of the cord lesion - Associated with injuries above level T6 TURPs - correct answer - risk for water intoxication - risk for hyponatremia - s/s include: SOB, hypoxemia, confusion, nausea, vomiting, muscle twitches, tachycardia, and hypotension intrarenal failure - correct answer - direct damage to the kidneys by inflammation, toxins, drugs, infection, or reduced blood supply (ex..glomerulonephritis) orcheopexy - correct answer procedure to correct testicular torsion Piaget's stages of cognitive development - correct answer 1. sensorimotor (18-24 months) 2. preoperational (24 months - 7 years) 3. concrete operational (7 - 12 years) 4. formal operational ( 12 years - adulthood) distal tubule function - correct answer - acid-base balance - homeostatic balance - Expectations after kidney transplant - correct answer POLYURIA - due to administrations of mannitol and diuretics Test to determine glomerular filtration - correct answer - Creatinine - in blood - it is the only filtered substance that is not re-absorbed - and/ or - proteinuria - in urine Proximal tubule function - correct answer - 65% - most of the solute and water reabsorption Only safe opioid for pts with renal failure - correct answer Fentanyl DO NOT GIVE MORPHINE, MEPERIDINE, OR HYDROMORPHONE