RELIAS PACU RN A v1 Complete Study Guide Test.

RELIAS PACU RN A v1 Complete Study Guide Test. 1. What set of findings indicates a patient is likely to be ready for phase 1 discharge? ***C) Drowsy, oxygen sat- uration of 96%, able to cough, and move all ex- tremities 2. Meperidine (Demerol) 12.5mg every 15 minutes, IV prn 0.25 mililiters is ordered for shivering in the PACU. Meperidine is available in 50mg/1ml. How many mililiters should be given? 3. Upon inspecting a patient's epidural insertion site, you ***D) Contact the anes- notice swelling around the catheter. What should you do? thesia provider 4. What do you consider to be a safe dose of intravenous ***B) 25 micrograms fentanyl for an adult who does not have tolerance to opioids? 5. Your patient in the PACU has a blood pressure of 171/92 mmHg, a heart rate of 120, respiratory rate of 24, is grimacing, restless, and moaning in bed. What medication should you prepare to give FIRST? 6. You are about to discharge a day surgery patient with aphasia and you discover the family members are not available for the discharge instructions and are not responding to your phone calls. Business hours are over and the PACU is about to close. How will you handle the situation? 7. You received a patient from OR post hip replacement ***B) 50 mcg fentanyl IV push ***A) Wait until the family returns ***C) Obtain the consent surgery. The anesthesiologist is planning a nerve block from medical POA in PACU, but the patient did not sign the consent for the nerve block. How will you proceed? 8. What is a physical manifestation of neuromuscular blockade (Roc, succinylcholine)? 9. What position would help alleviate headaches after spinal anesthesia? 10. The surgeon has ordered ampicillin (Ancef) for a pa- tient. When you check their chart, you see an allergy to penicillin. What is the BEST action? 11. You are receiving report for a patient who had a per- C) Decreased respiratory ettort ***D) Flat to supine ***D) Contact the provider to question the order ***C) Clear dressing ap- cutaneous transluminal angioplasty for right lower ex- plied to the right groin tremity peripheral vascular disease and is now recov- ering in the PACU. What type of surgical dressing do you expect to find for this patient? 12. You are receiving a report on a post op patients from the OR nurse and during the report when you asked for clarifications, the OR nurse became angry, belliger- ent, and rude. She ended up not answering your ques- tion. How will you proceed? 13. You are reviewing your orders for you 8 year-old pa- tient that recently arrive in PACU. Which PRN pain or- der would you question? ***A) Report the incident to your charge nurse C) PO ketorolac 14. What is a physiologic effect related to unrelieved pain? ***D) Decreased healing 15. You are caring for a patient after placement of a percu- ***A) The tube is placed taneous J tube. A student nurse asks you, " Where does into the Jejunum this tube go in the patient?" How should you answer? 16. When caring for a patient who is recovering from B) Elevate the right arm placement of a new arteriovenous fistula in their right above the heart arm, you observe the presence of mild edema at the site. What should you do? 17. You are caring for patient who is intubated, receiving ventilatory support, and is sedated with a propofol infusion. Over the last 5 minutes you have decreased the propofol infusion in preparation for extubation. The patient is now opening their eyes to voice and following commands. What should you do NEXT to prepare the patient for immediate extubation? 18. When caring for a patient who is receiving outpatient surgery, what is the BEST way to know that a pa- tient's post-operative blood pressure is sufficient for discharge to home? 19. After surgery, a sleepy yet responsive patient with an intact gag reflex has a large amount of salivary secre- tions. What should you do? 20. Where is the phlebostatic axis for leveling the trans- ducer of an arterial line? 21. A carotid endarterectomy patient arrives to you in the PACU. What initial assessment is MOST important? ***C) Stop the propofol infusion ***B) It is +/- 20% of base- line pre-operative levels D) Insert an oral airway ***A) Fourth intercostal level at the midaxillary line ***A) pupil ch