CEPA EXAM ACTUAL TEST PAPER WITH FULL
SOLVED QUESTIONS AND CORRECT
ANSWERS GRADED A PLUS
◉ Craniotomy Treatment (triple H's). Answer: - hemodilution
- hypertension
- hypervolemia
(this forces constricted blood vessels to dilate and perfuse tissue)
◉ Transverse Colostomy. Answer: soft stool
typical stool odor
stool damages the skin
empties several times per day
may or may not be at risk for fluid/electrolytes imbalances
may irrigate
◉ sigmoid colostomy. Answer: - formed stool
◉ ileosotomy. Answer: - high up
- liquid pasty stool
,◉ Roux-en-Y gastric bypass. Answer: Small pouch created from
stomach
Part of small intestine (DUODENUM) bypassed
Restriction and malabsorption
◉ Post-op Stroke symptoms. Answer: - double vision
- headache
- sudden dizziness
◉ 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
SOLVED QUESTIONS AND CORRECT
ANSWERS GRADED A PLUS
◉ Craniotomy Treatment (triple H's). Answer: - hemodilution
- hypertension
- hypervolemia
(this forces constricted blood vessels to dilate and perfuse tissue)
◉ Transverse Colostomy. Answer: soft stool
typical stool odor
stool damages the skin
empties several times per day
may or may not be at risk for fluid/electrolytes imbalances
may irrigate
◉ sigmoid colostomy. Answer: - formed stool
◉ ileosotomy. Answer: - high up
- liquid pasty stool
,◉ Roux-en-Y gastric bypass. Answer: Small pouch created from
stomach
Part of small intestine (DUODENUM) bypassed
Restriction and malabsorption
◉ Post-op Stroke symptoms. Answer: - double vision
- headache
- sudden dizziness
◉ 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
