NU 207- Beginning Medical Surgical Nursing- Miss Heather Harkopf- PCC Spring 2025- PACU- Cardiac - exam questions with answers

NU 207- Beginning Medical Surgical Nursing-
|\ |\ |\ |\ |\ |\




Miss Heather Harkopf- PCC Spring 2025-
|\ |\ |\ |\ |\ |\




PACU- Cardiac - exam questions with answers |\ |\ |\ |\ |\ |\




What is the most effective way to deal w/ post-op pain? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


CORRECT ANSWERS ✔✔Multi-modal analgesia |\ |\ |\




Giving many different classes of drugs to combat the same pain:
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


- CORRECT ANSWERS ✔✔Multi-modal analgesia
|\ |\ |\ |\ |\




Opioids should be given for at least how many hours after
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


surgery? - CORRECT ANSWERS ✔✔48 |\ |\ |\ |\




2 main causes of hypothermia after surgery: - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔Cold irritants/gases and prolonged anesthesia |\ |\ |\ |\ |\




Shivering post-op is dangerous because it : - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\


✔✔Uses excess O2 and energy and increases HR and BP
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\




If a pt is using a blanket warmer, radiant warmer or forced air
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


warmer, what must be monitored and how often? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔Temp, q30min |\ |\




Fever in the first 48 hrs after surgery with a MILD elevation
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


greater than or equal to 100.4 F could indicate: - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔Inflammatory response d/t surgical stress |\ |\ |\ |\ |\

,Hypothermia up to 12 hrs after surgery less than 96.8 could
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


indicate: - CORRECT ANSWERS ✔✔Effects of anesthesia or body
|\ |\ |\ |\ |\ |\ |\ |\ |\


heat lost during surgery
|\ |\ |\




Fever more than 48 hrs after surgery with an elevation of less
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


than 100 F could indicate: - CORRECT ANSWERS ✔✔Infection
|\ |\ |\ |\ |\ |\ |\ |\




Fever less than 48 hrs after surgery with a moderate elevation
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


greater than 100.4 F could indicate: - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\


✔✔Lung congestion or dehydration
|\ |\ |\




What is the most common issue after surgery? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔N/V |\




High risk for N/V after surgery - CORRECT ANSWERS ✔✔Female,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


non-smoker, under 50 and prone to motion sickness|\ |\ |\ |\ |\ |\ |\




A postoperative ileus typically lasts less than - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔3 days |\ |\




Opioids after surgery can prolong what? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\


✔✔Ileus


Another name for hiccups: - CORRECT ANSWERS ✔✔Singultus
|\ |\ |\ |\ |\ |\ |\

, What causes hiccups (singultus)? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\


✔✔Irritation of phrenic nerve |\ |\ |\




What worsens singultus? - CORRECT ANSWERS ✔✔NG tube
|\ |\ |\ |\ |\ |\ |\




A pt with an NG tube is complaining of hiccuping. What nursing
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


intervention will help? - CORRECT ANSWERS ✔✔Suction |\ |\ |\ |\ |\ |\




Given as a post-op anti-emetics: - CORRECT ANSWERS ✔✔Zofran
|\ |\ |\ |\ |\ |\ |\ |\ |\


and Phenergan |\




Do not give this anti-emetic w/ opioids: - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


✔✔Phenergan


Often used in NPO pts to stimulate peristalis: - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔Chewing gum |\ |\




Diet progression typically starts by giving the pt what? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


CORRECT ANSWERS ✔✔Ice chips |\ |\ |\




When can the pt start eating after surgery? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


✔✔After first bowel sounds
|\ |\ |\ |\




What is the primary cause of emergence dilirium? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔Hypoxia |\