NURS 342: Adult Health Exam 1 questions with
correct answers
atelectasis Correct Answer-collapse of lung tissue
can occur postoperatively if the patient does not change positions and
breathe deeply
common problem after general anesthesia
causes intolerance of anesthesia
autologous donation Correct Answer-blood donation given by the
patient before surgery for the purpose of reinfusing for self
carboxyhemoglobin Correct Answer-carbon monoxide on oxygen-
binding sites of the hemoglobin molecule
leads to decreased oxygen delivery to organs
smoking increases risk
dehiscence Correct Answer-partial or total separation of outer wound
layers
,apply sterile nonadherent (tefla) or saline dressing
instruct pt to bend knees and avoid coughing
dysuria Correct Answer-painful urination
evisceration Correct Answer-total separation of all wound layers and
protrusion of internal organs through the open wound
is a surgical emergency
place pt in supine with hips and knees bent, call RRT
hyperkalemia Correct Answer-increased serum potassium level
(normal range 3.5-5.0)
increases risk for dysrhythmias, especially with use of anesthesia
hypokalemia Correct Answer-decreased serum potassium level
(normal range 3.5-5.0)
,increases risk for toxicity if pt is taking digoxin, slows recovery from
anesthesia, and increases cardiac irritability
malignant hyperthermia Correct Answer-inherited muscle disorder
an acute, life-threatening complication of certain drugs used for general
anesthesia
calcium + potassium levels increased, as is metabolic rate, leading to
acidosis, cardiac dysrhythmias, and a high body temp
symptoms of malignant hyperthermia Correct Answer-- tachycardia
- dysrhythmias
- muscle rigidity of jaw/upper chest
- hypotension
- tachypnea
- skin mottling
- cyanosis
- myoglobinuria
What is used to treat malignant hyperthermia? Correct Answer-
Dantrolene
nursing intervention for malignant hyperthermia Correct Answer--
administer 100% O2 through non-rebreather
, - assess cardiac rhythm and vital signs
- make sure IV line is patent
- remove sheets/blankets from patient
- administer chilled 0.9% sodium chloride solution IV
- place ice packs at groin, axillae, and neck
- apply temperature regulating blanket
- D/C cooling measures when patient temp reaches 100 F
- insert foley to monitor urine output and signs of myoglobinuria
What drug does Dantrolene interact with, causing severe hyperkalemia,
ventricular fibrillation, and cardiac arrest? Correct Answer-calcium
channel blockers
morbidity Correct Answer-illness or an abnormal condition or quality
myoglobinuria Correct Answer-muscle proteins in the urine due to
rhabdomyolysis
rhabdomyolysis Correct Answer-dissolution of striated muscle (caused
by trauma, extreme exertion, or drug toxicity; in severe cases renal
failure can result)
nocturia Correct Answer-the need to urinate at night
oliguria Correct Answer-scant urine output
correct answers
atelectasis Correct Answer-collapse of lung tissue
can occur postoperatively if the patient does not change positions and
breathe deeply
common problem after general anesthesia
causes intolerance of anesthesia
autologous donation Correct Answer-blood donation given by the
patient before surgery for the purpose of reinfusing for self
carboxyhemoglobin Correct Answer-carbon monoxide on oxygen-
binding sites of the hemoglobin molecule
leads to decreased oxygen delivery to organs
smoking increases risk
dehiscence Correct Answer-partial or total separation of outer wound
layers
,apply sterile nonadherent (tefla) or saline dressing
instruct pt to bend knees and avoid coughing
dysuria Correct Answer-painful urination
evisceration Correct Answer-total separation of all wound layers and
protrusion of internal organs through the open wound
is a surgical emergency
place pt in supine with hips and knees bent, call RRT
hyperkalemia Correct Answer-increased serum potassium level
(normal range 3.5-5.0)
increases risk for dysrhythmias, especially with use of anesthesia
hypokalemia Correct Answer-decreased serum potassium level
(normal range 3.5-5.0)
,increases risk for toxicity if pt is taking digoxin, slows recovery from
anesthesia, and increases cardiac irritability
malignant hyperthermia Correct Answer-inherited muscle disorder
an acute, life-threatening complication of certain drugs used for general
anesthesia
calcium + potassium levels increased, as is metabolic rate, leading to
acidosis, cardiac dysrhythmias, and a high body temp
symptoms of malignant hyperthermia Correct Answer-- tachycardia
- dysrhythmias
- muscle rigidity of jaw/upper chest
- hypotension
- tachypnea
- skin mottling
- cyanosis
- myoglobinuria
What is used to treat malignant hyperthermia? Correct Answer-
Dantrolene
nursing intervention for malignant hyperthermia Correct Answer--
administer 100% O2 through non-rebreather
, - assess cardiac rhythm and vital signs
- make sure IV line is patent
- remove sheets/blankets from patient
- administer chilled 0.9% sodium chloride solution IV
- place ice packs at groin, axillae, and neck
- apply temperature regulating blanket
- D/C cooling measures when patient temp reaches 100 F
- insert foley to monitor urine output and signs of myoglobinuria
What drug does Dantrolene interact with, causing severe hyperkalemia,
ventricular fibrillation, and cardiac arrest? Correct Answer-calcium
channel blockers
morbidity Correct Answer-illness or an abnormal condition or quality
myoglobinuria Correct Answer-muscle proteins in the urine due to
rhabdomyolysis
rhabdomyolysis Correct Answer-dissolution of striated muscle (caused
by trauma, extreme exertion, or drug toxicity; in severe cases renal
failure can result)
nocturia Correct Answer-the need to urinate at night
oliguria Correct Answer-scant urine output
