Relias PACU RN A v1
A carotid endarterectomy affected person arrives to you inside the PACU. What preliminary
evaluation is MOST critical? - ANS-***A) scholar checks
A affected person had malignant hyperthermia for the duration of surgical operation. What
kind of tracking must they obtain? - ANS-Intensive care unit monitoring for 24 hours
A patient in segment 2 restoration has yet to urinate after surgical procedure. You take the
patient to the toilet, and they're nonetheless not able to void. What ought to you do FIRST? -
ANS-B) Perform a bladder experiment
A patient who received trendy anesthesia tells you that their throat is sore and also you
notice their voice is hoarse. What should you do? - ANS-offer ice chips and sips of water
A patient's DNR order turned into revoked in the course of surgical operation. When can or
not it's reinstated? - ANS-Per institutional coverage
A sedated affected person has just arrived to the PACU from the operating room with the
anesthesia provider and a member of the surgical crew. What should you do next? -
ANS-Assess their airway and oxygenation
After a 6-hour abdominal surgery in the course of which a patient was on their returned, a
affected person reports continual decrease lower back pain. What must you do subsequent?
- ANS-C) Inspect their lower back
After day surgical procedure, a affected person is drowsy, nauseated, reporting 7 out of 10
ache, and requiring four liters oxygen to hold sat more than 92%. What level of care must
this patient receive? - ANS-Phase 1
After day surgical procedure, the affected person is wide awake, reviews 2 out of 10 pain,
denies nausea, has voided, has solid vital signs, however has but to acquire discharge
instructions. What stage of care must this patient get hold of? - ANS-Phase 2
After surgery, a sleepy yet responsive affected person with an intact gag reflex has a
massive quantity of salivary secretions. What should you do? - ANS-D) Insert an oral airway
In PACU, upon reviewing the order for a PCA, you have a question about it. Who should you
contact? - ANS-D) Surgeon
Meperidine (Demerol) 12.5mg every 15 mins, IV prn is ordered for shivering within the
PACU. Meperidine is to be had in 50mg/1ml. How many mililiters must take delivery of? -
ANS-zero.25 mililiters
Reversal of Midazolam - ANS-Flumazenil
The medical professional has ordered ampicillin (Ancef) for a patient. When you take a look
at their chart, you see an allergy to penicillin. What is the BEST motion? - ANS-***D) Contact
the company to question the order
There are 4 patients in PACU: A affected person who is alert but disoriented to time, a
affected person who reviews dizziness upon sitting upright, a patient who has partial go back
of sensation after spinal, and a patient who's drowsy but awakens to the touch. Which
patient is MOST ready to switch to segment 2 publish-anesthesia care? - ANS-B) The
patient who is alert but disoriented to time
There are four sufferers in PACU: a patient who acquired surgical treatment to restore their
maxilla bone fracture, a affected person convalescing from esophageal resection for
squamous cellular cancer, a patient who's getting better from surgical placement of a
, tracheostomy, and a patient who is recuperating from Roux-en Y gastric skip surgical
treatment. For which of the affected person is the insertion of a nasopharyngeal airway
contraindicated? - ANS-C) Maxilla bone fracture
Threshold for hypothermia in PACU? - ANS-Less than 36 stages Celsius
To whom may you ask to apply a BiPAP? - ANS-Respiratory Therapy
Upon inspecting a patient's epidural insertion web page, you observe swelling around the
catheter. What have to you do? - ANS-***D) Contact the anesthesia company
What evaluation finding suggests that a patient is prepared to tolerate ice chips? -
ANS-Patient is capable of cough
What aggregate of medicinal drugs is an instance of multi-modal pain management? -
ANS-C) IV hydromorphone and IV acetaminophen
What circumstance will increase a patient's risk of breathing melancholy whilst using a PCA
pump? - ANS-Sleep apnea
What branch approves and opinions medical components of care in the PACU which
includes regulations and processes? - ANS-Department of Anesthesia
What do you don't forget to be a secure dose of intravenous fentanyl for an grownup who
does no longer have tolerance to opioids? - ANS-***B) 25 micrograms
What do you bear in mind to be the SAFEST initial dose of IV hydromorphone for a 70
year-antique without renal impairment? - ANS-***C) 0.2 mg
What drug is MOST powerful in top airway emergencies? - ANS-D) Racemic epinephrine
What information is essential to encompass while imparting patient training about the use of
a PCA? - ANS-Only you must press the button to acquire ache medicinal drug
What instructions for care should you encompass while teaching a affected person
approximately their Penrose drain? - ANS-B) Change your dressing 2 instances an
afternoon or when it turns into wet
What is a bodily manifestation of neuromuscular blockade (Roc, succinylcholine)? - ANS-C)
Decreased respiration effort
What is a physiologic impact associated with unrelieved ache? - ANS-***D) Decreased
healing
What is a end result of shivering? - ANS-***B) Increased oxygen demand
What is an example of Phase 1 discharge criteria? - ANS-***C) The patient can preserve
their airway
What position could assist alleviate complications after spinal anesthesia? - ANS-***D) Flat
to supine
What safety degree must you're taking whilst applying a fentanyl transdermal patch? -
ANS-Wear gloves
What set of findings indicates a affected person is in all likelihood to be ready for segment 1
discharge? - ANS-***C) Drowsy, oxygen saturation of ninety six%, capable of cough, and
flow all extremities
What sign or symptom should you carefully screen for in a affected person when they have
neck surgical procedure? - ANS-B) Tracheal Deviation
What would postpone discharge home whilst being concerned for a patient who received
spinal anesthesia? - ANS-Inability to void
When caring for a affected person who is receiving outpatient surgical treatment, what's the
BEST manner to recognise that a affected person's publish-operative blood strain is
sufficient for discharge to home? - ANS-***B) It is +/- 20% of baseline pre-operative ranges
A carotid endarterectomy affected person arrives to you inside the PACU. What preliminary
evaluation is MOST critical? - ANS-***A) scholar checks
A affected person had malignant hyperthermia for the duration of surgical operation. What
kind of tracking must they obtain? - ANS-Intensive care unit monitoring for 24 hours
A patient in segment 2 restoration has yet to urinate after surgical procedure. You take the
patient to the toilet, and they're nonetheless not able to void. What ought to you do FIRST? -
ANS-B) Perform a bladder experiment
A patient who received trendy anesthesia tells you that their throat is sore and also you
notice their voice is hoarse. What should you do? - ANS-offer ice chips and sips of water
A patient's DNR order turned into revoked in the course of surgical operation. When can or
not it's reinstated? - ANS-Per institutional coverage
A sedated affected person has just arrived to the PACU from the operating room with the
anesthesia provider and a member of the surgical crew. What should you do next? -
ANS-Assess their airway and oxygenation
After a 6-hour abdominal surgery in the course of which a patient was on their returned, a
affected person reports continual decrease lower back pain. What must you do subsequent?
- ANS-C) Inspect their lower back
After day surgical procedure, a affected person is drowsy, nauseated, reporting 7 out of 10
ache, and requiring four liters oxygen to hold sat more than 92%. What level of care must
this patient receive? - ANS-Phase 1
After day surgical procedure, the affected person is wide awake, reviews 2 out of 10 pain,
denies nausea, has voided, has solid vital signs, however has but to acquire discharge
instructions. What stage of care must this patient get hold of? - ANS-Phase 2
After surgery, a sleepy yet responsive affected person with an intact gag reflex has a
massive quantity of salivary secretions. What should you do? - ANS-D) Insert an oral airway
In PACU, upon reviewing the order for a PCA, you have a question about it. Who should you
contact? - ANS-D) Surgeon
Meperidine (Demerol) 12.5mg every 15 mins, IV prn is ordered for shivering within the
PACU. Meperidine is to be had in 50mg/1ml. How many mililiters must take delivery of? -
ANS-zero.25 mililiters
Reversal of Midazolam - ANS-Flumazenil
The medical professional has ordered ampicillin (Ancef) for a patient. When you take a look
at their chart, you see an allergy to penicillin. What is the BEST motion? - ANS-***D) Contact
the company to question the order
There are 4 patients in PACU: A affected person who is alert but disoriented to time, a
affected person who reviews dizziness upon sitting upright, a patient who has partial go back
of sensation after spinal, and a patient who's drowsy but awakens to the touch. Which
patient is MOST ready to switch to segment 2 publish-anesthesia care? - ANS-B) The
patient who is alert but disoriented to time
There are four sufferers in PACU: a patient who acquired surgical treatment to restore their
maxilla bone fracture, a affected person convalescing from esophageal resection for
squamous cellular cancer, a patient who's getting better from surgical placement of a
, tracheostomy, and a patient who is recuperating from Roux-en Y gastric skip surgical
treatment. For which of the affected person is the insertion of a nasopharyngeal airway
contraindicated? - ANS-C) Maxilla bone fracture
Threshold for hypothermia in PACU? - ANS-Less than 36 stages Celsius
To whom may you ask to apply a BiPAP? - ANS-Respiratory Therapy
Upon inspecting a patient's epidural insertion web page, you observe swelling around the
catheter. What have to you do? - ANS-***D) Contact the anesthesia company
What evaluation finding suggests that a patient is prepared to tolerate ice chips? -
ANS-Patient is capable of cough
What aggregate of medicinal drugs is an instance of multi-modal pain management? -
ANS-C) IV hydromorphone and IV acetaminophen
What circumstance will increase a patient's risk of breathing melancholy whilst using a PCA
pump? - ANS-Sleep apnea
What branch approves and opinions medical components of care in the PACU which
includes regulations and processes? - ANS-Department of Anesthesia
What do you don't forget to be a secure dose of intravenous fentanyl for an grownup who
does no longer have tolerance to opioids? - ANS-***B) 25 micrograms
What do you bear in mind to be the SAFEST initial dose of IV hydromorphone for a 70
year-antique without renal impairment? - ANS-***C) 0.2 mg
What drug is MOST powerful in top airway emergencies? - ANS-D) Racemic epinephrine
What information is essential to encompass while imparting patient training about the use of
a PCA? - ANS-Only you must press the button to acquire ache medicinal drug
What instructions for care should you encompass while teaching a affected person
approximately their Penrose drain? - ANS-B) Change your dressing 2 instances an
afternoon or when it turns into wet
What is a bodily manifestation of neuromuscular blockade (Roc, succinylcholine)? - ANS-C)
Decreased respiration effort
What is a physiologic impact associated with unrelieved ache? - ANS-***D) Decreased
healing
What is a end result of shivering? - ANS-***B) Increased oxygen demand
What is an example of Phase 1 discharge criteria? - ANS-***C) The patient can preserve
their airway
What position could assist alleviate complications after spinal anesthesia? - ANS-***D) Flat
to supine
What safety degree must you're taking whilst applying a fentanyl transdermal patch? -
ANS-Wear gloves
What set of findings indicates a affected person is in all likelihood to be ready for segment 1
discharge? - ANS-***C) Drowsy, oxygen saturation of ninety six%, capable of cough, and
flow all extremities
What sign or symptom should you carefully screen for in a affected person when they have
neck surgical procedure? - ANS-B) Tracheal Deviation
What would postpone discharge home whilst being concerned for a patient who received
spinal anesthesia? - ANS-Inability to void
When caring for a affected person who is receiving outpatient surgical treatment, what's the
BEST manner to recognise that a affected person's publish-operative blood strain is
sufficient for discharge to home? - ANS-***B) It is +/- 20% of baseline pre-operative ranges
