CPAN/CAPA set #2 || All Accurate.
Patient's with acromegaly need constant vigilance in PACU because correct answers
Respiratory status.. because of protruding lower jaw and enlarged tongue
Hypersecretion of Growth Hormone causes this correct answers Acromegaly or Giantism;
usually happens before puberty
Hyposecretion of Growth Hormone causes this correct answers Simmonds Disease; is
characterized by premature senility, weakness, emaciated, mental lethargy and wrinkled dry
skin
What is a major cause of diabetes insipidus correct answers This condition is characterized by
the output of large volume of dilute sugar free urine which is caused by lack of ADH
When ADH is secreted in large quantities, vasoconstriction of the smooth muscles occurs..
this leads to correct answers elevated blood pressure
When blood supply to the kidneys is low correct answers Juxtaglomerular cells are stimulated
to release renin
A disease that is a deficiency of ACTH correct answers Addison Disease
When hemorrhage and trauma occurs during a surgical procedure correct answers ADH
secretion is elevated; this situation SIADH can be induced as a result of overzealous fluid
administration which can cause water intoxication
Addision crisis correct answers Dehydration, nausea, hypotension followed by fever. Marked
flaccidity of extremities, hyponatremia, hyperkalemia, azotemia, shock
How does the nurse treat Addision Crisis correct answers Dexamethasone 2 - 4 IV along with
D5NS
Symptoms of water intoxication correct answers Headache, muscular weakness, anorexia,
nausea and vomiting... this leads to confusion, hostility disorientation, uncooperativeness,
drowsiness or convulsion and coma
How to treat SIAD correct answers Fluid restriction, diuresis w/ mannitol and lasix and
administration of sodium chloride
Evidence based risk factors for PONV correct answers female, non smoker, history of PONV,
postop opiods
Best treatment for PONV correct answers Multimodal interventions;consisting of more than
one pharmacological intervention targeting different drug receptors are superior
Best position when patient is vomiting correct answers Head down position and give oxygen
immediately. Allows fluid to flow away from lungs rather than into lungs
, Patient who has liver disease and had succinylcholine; what should the nurse monitor correct
answers Respiratory depression in the immediate postoperative period
What protein enzyme does the liver synthesizes correct answers Pseudocholinesterase
(plasma cholinesterese)
This protein is the principle enzyme in the metabolism of succinylcholine and the ester-type
local anesthetics correct answers Pseudocholinesterase
How do you treat type 1 hypersensitivity reaction (Anaphylactic) correct answers
Epinephrine and benadryl
What are some examples of type 1 hypersensitivity reactions correct answers Asthma, hay
fever, systemic anaphylaxis
What are some risk factors to latex allergy correct answers Allergies to food products: fruits,
nuts, bananas, avocados, celery, figs, chestnut and papayas
What are some medical diseases that can put a patient at risk for latex allergy correct answers
Neural tube defects, such as spina bifida, myelomenigocele and lipomyelomeningocele
What must the PACU nurse remember when re warming a hypothermic patient who just
received an IM or SQ injection correct answers When a patient undergoes rewarding, a
significant amount of the drug can be rapidly liberated from the injection site which can
cause a large concentration of the drug in the systemic system circulation and exaggerated
effect
Renal exretion of drugs depend on which of the following physiological processes correct
answers Glomerular filtration, active tubular secretion, and passive tubular reabsorption
What happens when epinephrine is added to a local anesthetic correct answers The absorption
of the local anesthetic can be enhanced or prolonged through the vasoconstrictive action of
epi
What drug do you want to avoid if patient is taking MAOI correct answers Demerol.
Interaction can include: seizures, agitation, rigidity, and hyperprexia (Type 1 Response).
Hypotension, respiratory depression and coma (Type 2 Response)
What must the nurse consider in a patient who has COPD and treated with long term
corticosteroids correct answers They have some degree of adrenocortical insufficiency and
may react to surgery and anesthesia w/ hypotension, respiratory depression or delayed
recovery. Important to prevent this these patients need maintenance of corticosteroids before,
during and after surgery
Surgical procedures that involve the middle ear... what anesthetic should be avoided correct
answers Nitrous oxide
What happens when not enough nitrous oxide is not removed from the lungs at the end of a
surgical procedure correct answers Diffuse hypoxia or Fink phenomenon
Patient's with acromegaly need constant vigilance in PACU because correct answers
Respiratory status.. because of protruding lower jaw and enlarged tongue
Hypersecretion of Growth Hormone causes this correct answers Acromegaly or Giantism;
usually happens before puberty
Hyposecretion of Growth Hormone causes this correct answers Simmonds Disease; is
characterized by premature senility, weakness, emaciated, mental lethargy and wrinkled dry
skin
What is a major cause of diabetes insipidus correct answers This condition is characterized by
the output of large volume of dilute sugar free urine which is caused by lack of ADH
When ADH is secreted in large quantities, vasoconstriction of the smooth muscles occurs..
this leads to correct answers elevated blood pressure
When blood supply to the kidneys is low correct answers Juxtaglomerular cells are stimulated
to release renin
A disease that is a deficiency of ACTH correct answers Addison Disease
When hemorrhage and trauma occurs during a surgical procedure correct answers ADH
secretion is elevated; this situation SIADH can be induced as a result of overzealous fluid
administration which can cause water intoxication
Addision crisis correct answers Dehydration, nausea, hypotension followed by fever. Marked
flaccidity of extremities, hyponatremia, hyperkalemia, azotemia, shock
How does the nurse treat Addision Crisis correct answers Dexamethasone 2 - 4 IV along with
D5NS
Symptoms of water intoxication correct answers Headache, muscular weakness, anorexia,
nausea and vomiting... this leads to confusion, hostility disorientation, uncooperativeness,
drowsiness or convulsion and coma
How to treat SIAD correct answers Fluid restriction, diuresis w/ mannitol and lasix and
administration of sodium chloride
Evidence based risk factors for PONV correct answers female, non smoker, history of PONV,
postop opiods
Best treatment for PONV correct answers Multimodal interventions;consisting of more than
one pharmacological intervention targeting different drug receptors are superior
Best position when patient is vomiting correct answers Head down position and give oxygen
immediately. Allows fluid to flow away from lungs rather than into lungs
, Patient who has liver disease and had succinylcholine; what should the nurse monitor correct
answers Respiratory depression in the immediate postoperative period
What protein enzyme does the liver synthesizes correct answers Pseudocholinesterase
(plasma cholinesterese)
This protein is the principle enzyme in the metabolism of succinylcholine and the ester-type
local anesthetics correct answers Pseudocholinesterase
How do you treat type 1 hypersensitivity reaction (Anaphylactic) correct answers
Epinephrine and benadryl
What are some examples of type 1 hypersensitivity reactions correct answers Asthma, hay
fever, systemic anaphylaxis
What are some risk factors to latex allergy correct answers Allergies to food products: fruits,
nuts, bananas, avocados, celery, figs, chestnut and papayas
What are some medical diseases that can put a patient at risk for latex allergy correct answers
Neural tube defects, such as spina bifida, myelomenigocele and lipomyelomeningocele
What must the PACU nurse remember when re warming a hypothermic patient who just
received an IM or SQ injection correct answers When a patient undergoes rewarding, a
significant amount of the drug can be rapidly liberated from the injection site which can
cause a large concentration of the drug in the systemic system circulation and exaggerated
effect
Renal exretion of drugs depend on which of the following physiological processes correct
answers Glomerular filtration, active tubular secretion, and passive tubular reabsorption
What happens when epinephrine is added to a local anesthetic correct answers The absorption
of the local anesthetic can be enhanced or prolonged through the vasoconstrictive action of
epi
What drug do you want to avoid if patient is taking MAOI correct answers Demerol.
Interaction can include: seizures, agitation, rigidity, and hyperprexia (Type 1 Response).
Hypotension, respiratory depression and coma (Type 2 Response)
What must the nurse consider in a patient who has COPD and treated with long term
corticosteroids correct answers They have some degree of adrenocortical insufficiency and
may react to surgery and anesthesia w/ hypotension, respiratory depression or delayed
recovery. Important to prevent this these patients need maintenance of corticosteroids before,
during and after surgery
Surgical procedures that involve the middle ear... what anesthetic should be avoided correct
answers Nitrous oxide
What happens when not enough nitrous oxide is not removed from the lungs at the end of a
surgical procedure correct answers Diffuse hypoxia or Fink phenomenon
