CAPA EVALUATION TEST QUESTIONS AND
ANSWERS SURE A+
✔✔Test to determine glomerular filtration - ✔✔- Creatinine - in blood - it is the only
filtered substance that is not re-absorbed
- and/ or - proteinuria - in urine
✔✔Proximal tubule function - ✔✔- 65% - most of the solute and water reabsorption
✔✔Only safe opioid for pts with renal failure - ✔✔Fentanyl
DO NOT GIVE MORPHINE, MEPERIDINE, OR HYDROMORPHONE
✔✔Priority intervention in hypospadius pts - ✔✔catheter care and maintenance
✔✔Primary complication of GI surgery - ✔✔- BOWEL INJURY
- assess for unrelieved pain, nausea, vomiting, and fever
✔✔spinal headache treatment - ✔✔bed rest, analgesics, caffeine, blood patch,
increased fluid intake
✔✔local anesthetic systemic toxicity treatment - ✔✔1.5 mL/Kg of 20% lipid
emulsion...followed by continuous infusion @ 0.25 mL/kg/min
✔✔chlorothiazides - ✔✔- DEPLETES POTASSIUM
- leads to hypokalemia
- increase in blocking action of nerve blocks due to depolarization of the muscla
✔✔Paroneal nerve palsy - ✔✔- complication of hip arthroplasty
- can be determined by weak or absent dorsiflexion
✔✔vesicovaginal fistula - ✔✔- abnormal opening between the bladder and the vagina
- typically only happens after pelvix fracture, surgery,
, ✔✔ejaculatory duct - ✔✔duct formed by the union of the vas deferens with the duct of
the seminal vesicle; its fluid is carried into the urethra
✔✔Aldosterone - ✔✔- released from the adrenal cortex
- stimulated by decreased sodium levels or increased potassium levels
✔✔pyuria - ✔✔The presence of pus in the urine, usually a sign of urinary tract infection,
or pyelonephritis
✔✔Best indicator of acute kidney failure - ✔✔Acute increase in creatinine
✔✔Erratic post-operative behavior (what to assess for) - ✔✔- distended bladder (think
long cases)
- hypoxia
- pain
✔✔S/s of allograft/ organ rejection - ✔✔- irritability
- anxiousness
- restlessness
- lethargy
- decreased urine output
- increased blood pressure
- weight gain
- anorexia
✔✔Why is a catheter placed s/p hysterectomy? - ✔✔- possibility or urethral edema
✔✔HELLP syndrome - ✔✔hemolysis, elevated liver enzymes, low platelets
✔✔Succinylcholine - ✔✔- Depolarizing neuromuscular blocker
- can cause muscle fasciculation, and mylagias
- throat pain, neck pain - can last for 2 days and should not require analgesics
✔✔Hypocalcemia S/S - ✔✔-muscle cramps
-arrhythmias
-numbness or tingling of fingers
-tonic-clonic seizures
-Chvosteks sign
-Trousseaus sign
✔✔Ketoacidosis symptoms - ✔✔- PUPD
- warm dry skin
- decreased LOC
- hypotension
ANSWERS SURE A+
✔✔Test to determine glomerular filtration - ✔✔- Creatinine - in blood - it is the only
filtered substance that is not re-absorbed
- and/ or - proteinuria - in urine
✔✔Proximal tubule function - ✔✔- 65% - most of the solute and water reabsorption
✔✔Only safe opioid for pts with renal failure - ✔✔Fentanyl
DO NOT GIVE MORPHINE, MEPERIDINE, OR HYDROMORPHONE
✔✔Priority intervention in hypospadius pts - ✔✔catheter care and maintenance
✔✔Primary complication of GI surgery - ✔✔- BOWEL INJURY
- assess for unrelieved pain, nausea, vomiting, and fever
✔✔spinal headache treatment - ✔✔bed rest, analgesics, caffeine, blood patch,
increased fluid intake
✔✔local anesthetic systemic toxicity treatment - ✔✔1.5 mL/Kg of 20% lipid
emulsion...followed by continuous infusion @ 0.25 mL/kg/min
✔✔chlorothiazides - ✔✔- DEPLETES POTASSIUM
- leads to hypokalemia
- increase in blocking action of nerve blocks due to depolarization of the muscla
✔✔Paroneal nerve palsy - ✔✔- complication of hip arthroplasty
- can be determined by weak or absent dorsiflexion
✔✔vesicovaginal fistula - ✔✔- abnormal opening between the bladder and the vagina
- typically only happens after pelvix fracture, surgery,
, ✔✔ejaculatory duct - ✔✔duct formed by the union of the vas deferens with the duct of
the seminal vesicle; its fluid is carried into the urethra
✔✔Aldosterone - ✔✔- released from the adrenal cortex
- stimulated by decreased sodium levels or increased potassium levels
✔✔pyuria - ✔✔The presence of pus in the urine, usually a sign of urinary tract infection,
or pyelonephritis
✔✔Best indicator of acute kidney failure - ✔✔Acute increase in creatinine
✔✔Erratic post-operative behavior (what to assess for) - ✔✔- distended bladder (think
long cases)
- hypoxia
- pain
✔✔S/s of allograft/ organ rejection - ✔✔- irritability
- anxiousness
- restlessness
- lethargy
- decreased urine output
- increased blood pressure
- weight gain
- anorexia
✔✔Why is a catheter placed s/p hysterectomy? - ✔✔- possibility or urethral edema
✔✔HELLP syndrome - ✔✔hemolysis, elevated liver enzymes, low platelets
✔✔Succinylcholine - ✔✔- Depolarizing neuromuscular blocker
- can cause muscle fasciculation, and mylagias
- throat pain, neck pain - can last for 2 days and should not require analgesics
✔✔Hypocalcemia S/S - ✔✔-muscle cramps
-arrhythmias
-numbness or tingling of fingers
-tonic-clonic seizures
-Chvosteks sign
-Trousseaus sign
✔✔Ketoacidosis symptoms - ✔✔- PUPD
- warm dry skin
- decreased LOC
- hypotension
