MCA 1 QUIZ 1 PRACTICE QUESTIONS FROM DISCUSSION
QUESTIONS WITH RIGHT ACCURATE ANSWERS | GRADED A+ .
What are the most common CV dx post-op? - correct Answers -Hypotension, Hypertension, and
dysrhythmias
How will the RN assess for CV complications post-op? - correct Answers -Check vitals q15m,
less frequent once pt is stable.
ECG for pts with CV hx.
Check pulse, skin assessment, monitor for fluid retention, and electrolyte imbalances.
What nursing interventions would be implemented for a pt with hypotension post-operatively? -
correct Answers -Start with O2 therapy, and IV fluid. Inspect surgical incision for cause of
volume loss.
What nursing interventions would the RN implement for a pt with hypertension post-op? -
correct Answers -Eliminate the cause of sympathetic nervous system stimulation. (analgesics,
assistance in voiding, and correction of respiratory problems)
What must the RN consider for any new post-op pt who gets up for the first time? - correct
Answers -orthostatic hypotension (have a 2nd person in case the pt starts to fall or faint.
How will the RN evaluate a pt after implementing post-op CV interventions? - correct Answers -
maintain I&O record
look at labs (electrolytes, and hematocrit)
manage IV therapy
What is malignant hyperthermia? - correct Answers -Rate autosomal dominant genetic disorder
which presents when combined with certain anesthetics (succinylcholine).
, How often does malignant hyperthermia occur? - correct Answers -1/100,000, 50% of cases
occur in pts <19yo, mortality: 1-17%
What are the signs and symptoms of malignant hyperthermia? - correct Answers -tachycardia,
tachypnea (early signs)
muscle contracture and rigidity
hyperthermia (late sign)
hypoxemia
rhabdomyolysis (dark brown urine)
What treatments should be administered if a pt has MH? - correct Answers -Many Ors have MH
carts
D/C anesthetic
Dantrolene at 2.5 mg/kg q5m up to 10mg/kg
hyperventilate with 100% O2
Monitor pt for hyperkalemia, dysrhythmias, creatinine kinase, and urine output
What did Bill say MH is often related to? - correct Answers -"Sux" succinylcholine
How will a pt's baseline be altered as they move to post-op? - correct Answers -Likely have
slightly higher HR, lower BP, lower RR, lower sat's.
Why are VS checked more often for post-op pts? - correct Answers -Risk of deterioration during
those first couple of hours.
What are the SBAR post-op requirements for situation? - correct Answers -surgeon, procedure,
surgical site, and anesthesia
What are the SBAR post-op requirements for background? - correct Answers -allergies, meds
recv'd, IV site/fluids, dressings/drains, EBL, comorbidities, reversal
QUESTIONS WITH RIGHT ACCURATE ANSWERS | GRADED A+ .
What are the most common CV dx post-op? - correct Answers -Hypotension, Hypertension, and
dysrhythmias
How will the RN assess for CV complications post-op? - correct Answers -Check vitals q15m,
less frequent once pt is stable.
ECG for pts with CV hx.
Check pulse, skin assessment, monitor for fluid retention, and electrolyte imbalances.
What nursing interventions would be implemented for a pt with hypotension post-operatively? -
correct Answers -Start with O2 therapy, and IV fluid. Inspect surgical incision for cause of
volume loss.
What nursing interventions would the RN implement for a pt with hypertension post-op? -
correct Answers -Eliminate the cause of sympathetic nervous system stimulation. (analgesics,
assistance in voiding, and correction of respiratory problems)
What must the RN consider for any new post-op pt who gets up for the first time? - correct
Answers -orthostatic hypotension (have a 2nd person in case the pt starts to fall or faint.
How will the RN evaluate a pt after implementing post-op CV interventions? - correct Answers -
maintain I&O record
look at labs (electrolytes, and hematocrit)
manage IV therapy
What is malignant hyperthermia? - correct Answers -Rate autosomal dominant genetic disorder
which presents when combined with certain anesthetics (succinylcholine).
, How often does malignant hyperthermia occur? - correct Answers -1/100,000, 50% of cases
occur in pts <19yo, mortality: 1-17%
What are the signs and symptoms of malignant hyperthermia? - correct Answers -tachycardia,
tachypnea (early signs)
muscle contracture and rigidity
hyperthermia (late sign)
hypoxemia
rhabdomyolysis (dark brown urine)
What treatments should be administered if a pt has MH? - correct Answers -Many Ors have MH
carts
D/C anesthetic
Dantrolene at 2.5 mg/kg q5m up to 10mg/kg
hyperventilate with 100% O2
Monitor pt for hyperkalemia, dysrhythmias, creatinine kinase, and urine output
What did Bill say MH is often related to? - correct Answers -"Sux" succinylcholine
How will a pt's baseline be altered as they move to post-op? - correct Answers -Likely have
slightly higher HR, lower BP, lower RR, lower sat's.
Why are VS checked more often for post-op pts? - correct Answers -Risk of deterioration during
those first couple of hours.
What are the SBAR post-op requirements for situation? - correct Answers -surgeon, procedure,
surgical site, and anesthesia
What are the SBAR post-op requirements for background? - correct Answers -allergies, meds
recv'd, IV site/fluids, dressings/drains, EBL, comorbidities, reversal
