CNOR Exam With Complete Solution

CNOR Exam With Complete Solution - What happens to body temperature after induction? - Drops 2.7 degrees in the first hour What 5 things does a Swan-Ganz Catheter measure? - Cardiac output, Core temperature, PA pressure, RA pressure, & Wedge Pressure Metoclopramide may be given as a preoperative medication in order to: A. Relieve apprehension B. Reduce risk of aspiration C. Relieve discomfort D. To control secretions - B. Reduce risk of aspiration (Reglan) speeds up stomach emptying When developing quality improvement projects the diagram that is used to help identify cause and effect and root causes is: A. Ishikaw diagram B. Affinity diagram C. Prioritization diagram D. Gantry chart - A. Ishikawa "fishbone" diagram analysis of cause and effect Equation for Allowable blood loss is: - Estimated Blood Volume = Weight (Kg) * Average Blood Volume Allowable Blood loss = [Estimated Blood Volume x (Initial Hematocrit - Final Hematocrit )] / Initial Hematocrit What are early signs of MH? - Unexplained tachycardia, cardiac arrhythmias, increase in 02 demands (tachypnea and hypoxia), generalized flushing of skin (warm to touch), masseter tightness, hypercarbia. Metabolic and respiratory acidosis & generalized muscle rigidity are late signs. What are some signs and symptoms of reaction to blood transfusion? - Blood in urine, Urine output decrease, Hypotension, Hyperthermia, & excessive or unusual bleeding When preparing got a pediatric intubation, what equipment and supplies should you have? - Straight laryngoscopes (miller blade) Uncuffed ET tubes for patient less than 8 years old Suction lumens 5-10 French ET tube 5.0mm Examples of fast acting anesthetic agents include: - Brevital (methohexital), nitrous and halothane ASA classifications - ASA-1 normal ASA -2 mild ASA -3- severe ASA -4- threat to life ASA -5 Die without surgery ASA -6- Brain Dead What is the reversal agent for benzodiazepines? - Flumazenil 0.2mg Some of the functions of the spleen include: - Phagocytosis of red blood cells phagocytosis of microorganisms' formation of nongranular leukocytes formation of plasma Why is the use of Succycholine on burn patients and tissue trauma contraindicated? - Increase K levels What are examples of a disease which your patient would be placed in Droplet causations for? - Pseudomonas or Influenza What are 2 of the most commonly used disease causing agents in bioterrorism? - Anthrax and Smallpox What are the 3 structures for the Triangle of Calot? - The common hepatic duct, the cystic artery, & the cystic duct What are 5 stages of pressure ulcer? - Suspected deep tissue -blood filled blister Stage I- Intact skin w/ nonblanchable redness Stage II- Partial red pick Stage III- Full NO bone or tender Stage IV -Full WITH bone or tendon Unstageable- yellow, tan, green, brown, slough w/ eschar What is the Braden scale used for? - Braden scale for predicting pressure ulcer risk is to help health professionals, especially nurses, assess a patient's risk of developing a pressure ulcer. The scale is made up of six subscales, which measure elements of risk which contribute to both higher intensity and duration of pressure, or lower tissue tolerance for pressure. 23-19 no risk 18-15 mild 14-13 moderate 12-10 severe 9 very high Commonly used laser types in the OR include: - Holmium- biliary and urinary Argon- ophthalmology and Dermatology Eximer- cardiac coronary arteries and contour cornea Erbium- skin resurfacing For safe storage, sterile supplies should be kept how many inches from the floor? - 8-10" from floor 18" from ceiling 2" from wall What are the 3 healing wound stages? - Inflammatory- during surgery Proliferative- 5-14 days contraction Remodeling- 2-4 weeks up to 1 year Sign and symptoms of Hyperkalemia may include: - MURDER muscle weakness urine oliguria/anuria respiratory distress decrease cardiac contractility ECG changes T wave flattened reflexes flaccid Sign and symptoms of Hypokalemia may include: - 6 L's lethargy lethal cardiac dysrhythmias leg cramps limp muscles low shallow respirations lots of urine Sign and symptoms of Hypernatremia may include: - SALT skin flushed agitation low grade fever thirst Sign and symptoms of hyponatremia may include: - SALT stupor/come anorexia lethargy tendon reflexes decreased Sign and symptoms of Hypocalcemia may include: - CATS go numb convulsions arrhythmias tetany spasm/stridor Signs and symptoms of local anesthetic toxicity may include: - Metallic taste, shivering, hypertension, tachycardia, confusion, dizziness, tinnitus, numbness and tingling of lips and tongue How do you treatment of Hyperkalemia in MH patient: - Insulin and dextrose 50% calcium chloride or calcium gluconate (treats life threatening hyperkalemia) What is the normal Ca++ level? - 8.6-10.2 mg/dL What blood products require a type and screen for compatibility? - Whole blood: Packed red blood cells: FFP: Plasma: What are late signs of Malignant Hypertension? - Temp increased 2 degrees (1 degree Celsius) every few minutes (LAST SIGN), cyanosis, skin molting, coagulopathy, myoglolobinuria (dark colored urine) & kidney failure. What is the function of the Bowie-dick test? - Test for air leaks, done daily, check inadequate pressure steam penetration What are examples of herbal supplements that may increase bleeding are: - Feverfew (Tanacetum parthenium) Garlic Ginger Ginkgo biloba Ginseng Vitamin E What are examples of herbal supplements that may prolong effects of anesthesia include: - Kava St John's wort Valerian What is the minimum information for documentation of an implant on the perioperative record? - Device id, date of manufacture, patient information, location of implant & surgeon info What is due during a scleral buckling procedure? - Implantation of a silicone wedge episclerally or intrasclerally What is Von Willebrand disease? - A genetic disorder of factor 8 deficiency. They use cryoprecipitate, DDAVP (vasopressin) as treatment What is the most common repair of hernia among pediatric patients? - Inguinal Hermia What is the range normal of serum of Creatinine - 0.2-0.5 mg/dl