2026 QUESTIONS WITH SOLUTIONS 100%
CORRECT.
Metoclopramide (Reglan). Answer: - controls post-op NV
- can have extrapyrmidal side effects like tardive dyskinesia
Gastrectomy Interventions. Answer: - encourage deep breaths
- and position shifts
clonic seizure. Answer: repetitive jerking movements
petit mal seizure. Answer: Also called absence attack. A seizure that
is characterized by a spike-and-wave EEG and often involves a loss of
awareness and inability to recall events surrounding the seizure.
Tonic seizure. Answer: sustained muscle contraction
Emergence excitement safety interventions. Answer: ok to use wrist
restraints
, Shivering first interventions . Answer: - anticipate order for
demerol
(over warm blankets)
Septic Shock/ Early Respiratory Distress. Answer: -
Hyperventilation
- Respiratory Alkalosis
- Elevated Lactate Levels
Interscalene nerve block. Answer: anesthetizes the brachial plexus as
it passes through the scalene triangle. It is used to provide anethesia for
the shoulder and upper arm. Nearly all patients will devleop transeint
ipsilateral diaphragmatic parylasis due to involvment of the phrenic
nerve roots as tehy pass through the interscalene sheath.
Complication of rapid warming. Answer: Hypotension (rapid
vasodilation can cause a drop in blood pressure)
Hetastarch (Hespan). Answer: - Volume expander, colloid
- less expensive than blood
- minimal co-ag effects
- less likely to cause allergic reaction
, - metabolizes slowly
Why are neonates not tolerant of fluid overload?. Answer: - obligate
sodium loss
- slow clearance of fluid
- inability to conserve fluid
Medication used to treat fluid overload/ ascites in patient with
Cirrhosis. Answer: Spironolactone
Steal syndrome. Answer: - Too much blood going to the fistula,
leaving the hand ischemic. Tx is with surgery or banding to decrease
outflow (if high flow)
Infant should void. Answer: 5ml/Kg/hr or at least 2-3ml/Kg/hr
Autonomic hyperreflexia (dysreflexia). Answer: - Massive,
uncompensated cardiovascular response to stimulation of the
sympathetic nervous system
Stimulation of the sensory receptors below the level of the cord lesion
- Associated with injuries above level T6
TURPs. Answer: - risk for water intoxication