SOLUTIONS GRADED A+
✔✔After transfer of the pediatric tonsillectomy patient to the transportation vehicle, in
which of the following positions should the patient be placed to facilitate draining? -
✔✔Semiprone
✔✔An 8 year old boy is being prepared for bilateral inguinal herniorrhaphy. As the
anesthesia provider is about the start the IV, the boy begins to cry. The most
appropriate action at this point would be to: - ✔✔Give the patient psychological support
through tactile contact and verbal reassurance
✔✔Which is a major stressor on toddlers in the OR? - ✔✔Separation anxiety
✔✔During Mr. J's lobectomy, the RN notes the following values: CVP = 2, Arterial BP =
90/60. These values are most likely related to: - ✔✔volume depletion
✔✔Which intervention would NOT be appropriate to combat fluid deficit in a Jehovah's
Witness pt? - ✔✔autologous blood administration
✔✔Which intervention WOULD be appropriate to combat fluid deficit in a Jehovah's
Witness pt? - ✔✔Autotransfusion, volume expanders, cardiopulmonary bypass
✔✔For a patient with a ruptured aortic aneurysm, which method would provide for the
safest and most immediate blood replacement - ✔✔Autotransfusion
✔✔During the periop interview one week before surgery, a pt is scheduled for a right hip
arthroplasty and expresses a fear of contracting AID from the receiving blood blank. The
RN first action would be: - ✔✔Notify the surgeon
✔✔Pt list the following meds she is on: Timolol and Pilocarpine for Glaucoma, and
metoprolol and diazoxide for hypertension. The preop meds ordered for her consist of
atropine, demerol, and hydroxyzine IM on call. The RN should be awake of that: -
✔✔this preop med set is contraindication for this patient
✔✔What are the dangers of using atropine in a pt with glaucoma? - ✔✔Atropine will
result in dilating the pupil, crowding the iris into the angle of the anterior chamber, where
it will impede the drainage of aqueous and can blind an eye since drainage is already
impaired by glaucoma
✔✔A trauma patient is in bad shape. Patient's family indicates that the patient's
religious beliefs include refusal of blood transfusions. In this situation, the OR team's
, most appropriate response is: - ✔✔Perform all measure necessary to stabilize the
patient's emergent condition
✔✔In the instruction of an 8 y.o., reasonable grasp of the information can often be
ensured by use of: - ✔✔audiovisual equipment
✔✔Which event is an indicator that the pt is ready to be moved to PACU? -
✔✔Anesthesia provider indicates that pt is ready
✔✔Naloxone (Narcan) - ✔✔Blocks the effects of opiods (reversal)
✔✔In using cricoid pressure during induction (to prevent reflux), it is most important to: -
✔✔maintain pressure until the cuff of the ET tube is inflated
✔✔In preparing for the care of an elderly patient going into for surgery, with the
diagnosis for risk of hypothermia, what actions should the RN take? - ✔✔Providing
anesthesia with a blood/fluid warmer
✔✔A patient undergoing a TURP under spinal anesthesia starts to experience chest
pain and restlessness with all the signs of congestive heart failure. Most likely cause is:
- ✔✔Absorption of irrigation fluid into the vascular systen
✔✔During a pre-op assessment of a patient, the RN notes electrolyte values of: Sodium
136, K 2.9, Chloride 101. On this basis what should the RN do? - ✔✔Inform anesthesia
of a low electrolyte value
✔✔Potassium: - ✔✔3.5-5
✔✔Chloride - ✔✔95-105
✔✔Sodium - ✔✔135-145
✔✔Calcium - ✔✔2-2.6
✔✔Zinc - ✔✔70-100
✔✔High levels of K places patient at risk of - ✔✔severe arrhythmias
✔✔Early signs of MH include - ✔✔unexplained tachycardias, rapid respirations, muscle
rigidity
✔✔Pt with a family hx of MH is in PACU. PACU RN should anticipate the need for: -
✔✔Dantrolene Sodium