INP 400 Exam Questions & Answers 2023/2024
patient controlled analgesics - ANSWER-short term management of acute postoperative pain that allows the patient to get a dose of IV analgesic with the push of a button
atelectasis (Post-op complications) - ANSWER-Collapse of alveoli with retained mucous secretions. S&S increased resp rate, dyspnea, fever, crackles and productive cough.Interventions: encourage DB+coughing Q2hrs, positioning and turning, administer antibiotics as prescribed, encourage ambulation
PCA (emergency interventions) - ANSWER-(What system does these interventions relate to?)
Notify RN if resps are <8 or sedation scale is > 3
- stop the pump
-give O2 at 8L/min by mask
- administer naloxone as per physcians orders
- notify anaesthesiologist immediately
- do not leave patient unattended
- monitor vital signs q5min
postoperative (complications) - ANSWER-These are all complications of what surgical phase?
Malignant hyperthermia
hemorrhage
Hypoxia
Shock
Pnuemonia and Ateclassis
DVT
GI & GU disturbances postoperative (medications) - ANSWER-These medications are all used in what surgical phase?
- Analgesics/opioids
-antiemetics
-antibiotics
general anesthetics - ANSWER-type of anesthetic that acts on CNS, causes loss of LOC, pain perception, reflexes, and memory.
local anesthetics - ANSWER-loss of sensation at desired spot can be injected or topically applied ex. lidocaine, tetracaine
regional anesthetics - ANSWER-blockage of nerve impusles in specific area through the use of local anesthetics; no loss of LOC with this type of anesthetics. Injury to extremeties can occur because movement returns before sensation.
conscious sedation - ANSWER-the use of intravenous drugs to reduce pain intensity or awareness without causing loss of reflexes
malignant hyperthermia - ANSWER-hypermetabolic state that triggers excessive stimulation of aerobic and anerobic metabolism; S&S muscle rigidity, tacycardia, tachypnea, hyperkalemia, hyperthermia
Nerve block - ANSWER-a technique in which the anesthetic agent is injected around a nerve to block the transmission of impulses ex. epidural and subarachnoid anesthesia are regional ____________ ________________
postspinal headache (spinal anesthesia complications) - ANSWER-complication of spinal anesthesia caused by leaking of cerebrospinal fluid at the puncture site; interventions include laying patient supine
hematoma - ANSWER-abnormal collection of blood underneath the tissue; S&S of inflammation including pain, swelling, and redness. decompression - ANSWER-(indication for NG suctioning)
Removal of secretions and gaseous substances from the gastrointestinal tract to prevent or relieve abdominal distension
lavage - ANSWER-(indications for NG suctioning)
Irrigation of the stomach in cases of active bleeding, poisoning, or gastric dilation
gavage - ANSWER-(Indications for NG suctioning)
feedings into the stomach for patients unable to swallow fluid
compression - ANSWER-(indications for NG suctioning)
Internal application of pressure by means of an inflated balloon to prevent internal esophageal or gastrointestinal hemorrhage
opioids (interventions) - ANSWER-These are interventions for which class of drugs
- hold medication if resps <12
- notify dr. - administer O2 as needed
- sit patient in fowlers
dumping syndrome - ANSWER-A condition that occurs after gastric surgery where foods quickly bypass the stomach and moves into the small intestines. S&S abdominal cramps, diarrhea, 10-30min after meals
patient controlled analgesics - ANSWER-short term management of acute postoperative pain that allows the patient to get a dose of IV analgesic with the push of a button
atelectasis (Post-op complications) - ANSWER-Collapse of alveoli with retained mucous secretions. S&S increased resp rate, dyspnea, fever, crackles and productive cough.Interventions: encourage DB+coughing Q2hrs, positioning and turning, administer antibiotics as prescribed, encourage ambulation
PCA (emergency interventions) - ANSWER-(What system does these interventions relate to?)
Notify RN if resps are <8 or sedation scale is > 3
- stop the pump
-give O2 at 8L/min by mask
- administer naloxone as per physcians orders
- notify anaesthesiologist immediately
- do not leave patient unattended
- monitor vital signs q5min
postoperative (complications) - ANSWER-These are all complications of what surgical phase?
Malignant hyperthermia
hemorrhage
Hypoxia
Shock
Pnuemonia and Ateclassis
DVT
GI & GU disturbances postoperative (medications) - ANSWER-These medications are all used in what surgical phase?
- Analgesics/opioids
-antiemetics
-antibiotics
general anesthetics - ANSWER-type of anesthetic that acts on CNS, causes loss of LOC, pain perception, reflexes, and memory.
local anesthetics - ANSWER-loss of sensation at desired spot can be injected or topically applied ex. lidocaine, tetracaine
regional anesthetics - ANSWER-blockage of nerve impusles in specific area through the use of local anesthetics; no loss of LOC with this type of anesthetics. Injury to extremeties can occur because movement returns before sensation.
conscious sedation - ANSWER-the use of intravenous drugs to reduce pain intensity or awareness without causing loss of reflexes
malignant hyperthermia - ANSWER-hypermetabolic state that triggers excessive stimulation of aerobic and anerobic metabolism; S&S muscle rigidity, tacycardia, tachypnea, hyperkalemia, hyperthermia
Nerve block - ANSWER-a technique in which the anesthetic agent is injected around a nerve to block the transmission of impulses ex. epidural and subarachnoid anesthesia are regional ____________ ________________
postspinal headache (spinal anesthesia complications) - ANSWER-complication of spinal anesthesia caused by leaking of cerebrospinal fluid at the puncture site; interventions include laying patient supine
hematoma - ANSWER-abnormal collection of blood underneath the tissue; S&S of inflammation including pain, swelling, and redness. decompression - ANSWER-(indication for NG suctioning)
Removal of secretions and gaseous substances from the gastrointestinal tract to prevent or relieve abdominal distension
lavage - ANSWER-(indications for NG suctioning)
Irrigation of the stomach in cases of active bleeding, poisoning, or gastric dilation
gavage - ANSWER-(Indications for NG suctioning)
feedings into the stomach for patients unable to swallow fluid
compression - ANSWER-(indications for NG suctioning)
Internal application of pressure by means of an inflated balloon to prevent internal esophageal or gastrointestinal hemorrhage
opioids (interventions) - ANSWER-These are interventions for which class of drugs
- hold medication if resps <12
- notify dr. - administer O2 as needed
- sit patient in fowlers
dumping syndrome - ANSWER-A condition that occurs after gastric surgery where foods quickly bypass the stomach and moves into the small intestines. S&S abdominal cramps, diarrhea, 10-30min after meals
