MCA 1 Quiz 1 – Questions With Comprehensive
Solutions
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Terms in this set (69)
What are the most common CV dx Hypotension, Hypertension, and dysrhythmias
post-op?
How will the RN assess for CV Check vitals q15m, less frequent once pt is stable.
complications post-op? ECG for pts with CV hx.
Check pulse, skin assessment, monitor for fluid
retention, and electrolyte imbalances.
What nursing interventions would be Start with O2 therapy, and IV fluid. Inspect surgical
implemented for a pt with incision for cause of volume loss.
hypotension post-operatively?
What nursing interventions would the Eliminate the cause of sympathetic nervous system
RN implement for a pt with stimulation. (analgesics, assistance in voiding, and
hypertension post-op? correction of respiratory problems)
What must the RN consider for any orthostatic hypotension (have a 2nd person in case
new post-op pt who gets up for the the pt starts to fall or faint.
first time?
How will the RN evaluate a pt after maintain I&O record
implementing post-op CV look at labs (electrolytes, and hematocrit)
interventions? manage IV therapy
What is malignant hyperthermia? Rate autosomal dominant genetic disorder which
presents when combined with certain anesthetics
(succinylcholine).
, How often does malignant 1/100,000, 50% of cases occur in pts <19yo, mortality:
hyperthermia occur? 1-17%
What are the signs and symptoms of tachycardia, tachypnea (early signs)
malignant hyperthermia? muscle contracture and rigidity
hyperthermia (late sign)
hypoxemia
rhabdomyolysis (dark brown urine)
What treatments should be Many Ors have MH carts
administered if a pt has MH? D/C anesthetic
Dantrolene at 2.5 mg/kg q5m up to 10mg/kg
hyperventilate with 100% O2
Monitor pt for hyperkalemia, dysrhythmias, creatinine
kinase, and urine output
What did Bill say MH is often related "Sux" succinylcholine
to?
How will a pt's baseline be altered as Likely have slightly higher HR, lower BP, lower RR,
they move to post-op? lower sat's.
Why are VS checked more often for Risk of deterioration during those first couple of
post-op pts? hours.
What are the SBAR post-op surgeon, procedure, surgical site, and anesthesia
requirements for situation?
What are the SBAR post-op allergies, meds recv'd, IV site/fluids, dressings/drains,
requirements for background? EBL, comorbidities, reversal
What are the SBAR post-op PACU vitals, O2 source, pain rates, tx, last dose, I&O,
requirements for assessment? N/V
What are the SBAR post-op equipment, physician orders, phone number for Qs,
requirements for recommendation? name of transferring and receiving RN
Solutions
Save
Terms in this set (69)
What are the most common CV dx Hypotension, Hypertension, and dysrhythmias
post-op?
How will the RN assess for CV Check vitals q15m, less frequent once pt is stable.
complications post-op? ECG for pts with CV hx.
Check pulse, skin assessment, monitor for fluid
retention, and electrolyte imbalances.
What nursing interventions would be Start with O2 therapy, and IV fluid. Inspect surgical
implemented for a pt with incision for cause of volume loss.
hypotension post-operatively?
What nursing interventions would the Eliminate the cause of sympathetic nervous system
RN implement for a pt with stimulation. (analgesics, assistance in voiding, and
hypertension post-op? correction of respiratory problems)
What must the RN consider for any orthostatic hypotension (have a 2nd person in case
new post-op pt who gets up for the the pt starts to fall or faint.
first time?
How will the RN evaluate a pt after maintain I&O record
implementing post-op CV look at labs (electrolytes, and hematocrit)
interventions? manage IV therapy
What is malignant hyperthermia? Rate autosomal dominant genetic disorder which
presents when combined with certain anesthetics
(succinylcholine).
, How often does malignant 1/100,000, 50% of cases occur in pts <19yo, mortality:
hyperthermia occur? 1-17%
What are the signs and symptoms of tachycardia, tachypnea (early signs)
malignant hyperthermia? muscle contracture and rigidity
hyperthermia (late sign)
hypoxemia
rhabdomyolysis (dark brown urine)
What treatments should be Many Ors have MH carts
administered if a pt has MH? D/C anesthetic
Dantrolene at 2.5 mg/kg q5m up to 10mg/kg
hyperventilate with 100% O2
Monitor pt for hyperkalemia, dysrhythmias, creatinine
kinase, and urine output
What did Bill say MH is often related "Sux" succinylcholine
to?
How will a pt's baseline be altered as Likely have slightly higher HR, lower BP, lower RR,
they move to post-op? lower sat's.
Why are VS checked more often for Risk of deterioration during those first couple of
post-op pts? hours.
What are the SBAR post-op surgeon, procedure, surgical site, and anesthesia
requirements for situation?
What are the SBAR post-op allergies, meds recv'd, IV site/fluids, dressings/drains,
requirements for background? EBL, comorbidities, reversal
What are the SBAR post-op PACU vitals, O2 source, pain rates, tx, last dose, I&O,
requirements for assessment? N/V
What are the SBAR post-op equipment, physician orders, phone number for Qs,
requirements for recommendation? name of transferring and receiving RN
