Prophecy PACU RN A v1
***WRONG (no concept what accurate answer is)***
What drug is MOST effective in upper airway emergencies? - ANS-A) Terbutaline
B) Nebulized albuterol
***WRONG***C) Humidified oxygen
D) Racemic epinephrine
***WRONG (very stressed)***
You are being concerned for a affected person inside the PACU who is receiving an
interscalene block for an higher extremity operation. When assessing the affected person,
you discover bilateral numbness of the chest and neck. What have to you do NEXT? -
ANS-A) Clamp the infusion tubing
B) Stop the infusion pump
***WRONG***C) Double check the pump settings
D) Provide supplemental oxygen
***WRONG***
A affected person in phase 2 recovery has but to urinate after surgical operation. You take
the affected person to the toilet, and they're nonetheless not able to void. What ought to you
do FIRST? - ANS-***WRONG***A) Offer the patient a cup of water
B) Perform a bladder test (probs correct)
C) Document unable to void
D) Obtain an order for a catheter
***WRONG***
In PACU, upon reviewing the order for a PCA, you've got a query approximately it. Who
need to you contact? - ANS-***WRONG***A) Hospitalist
B) Anesthesiologist
C) Critical Care Intensivist
D) Surgeon
***WRONG***
There are 4 sufferers in PACU: a patient who received surgery to repair their maxilla bone
fracture, a patient recovering from esophageal resection for squamous cellular cancer, a
patient who is recuperating from surgical placement of a tracheostomy, and a affected
person who is improving from Roux-en Y gastric pass surgical treatment. For which of the
patient is the insertion of a nasopharyngeal airway contraindicated? - ANS-C) Maxilla bone
fracture (probs correct)
***WRONG*** D) Patient improving from tracheostomy
***WRONG***
What mixture of medications is an instance of multi-modal ache control? - ANS-A) IV PCA
morphine with IV fentanyl
***WRONG***B) Oral morphine ER and IV morphine
C) IV hydromorphone and IV acetaminophen (probs accurate, one is opioid, other is not)
D) IV hydromorphone and IV morphine
***WRONG***
, What instructions for care ought to you encompass whilst instructing a affected person about
their Penrose drain? - ANS-***WORNG***A) You could have vibrant crimson drainage from
the tube for numerous days
B) Change your dressing 2 instances an afternoon or whilst it turns into moist (very probs
accurate)
C) This drainage tube helps save you accumulation of bile
D) Remove the protection pin at the quit of the tube whilst you get home
***WRONG***
What is a physical manifestation of neuromuscular blockade (Roc, succinylcholine)? -
ANS-A) Decreased focus
B) Decreased pupillary mild reflex
C) Decreased respiratory effort
***WRONG***D) Decreased sensation of ache
***WRONG***
What signal or symptom must you carefully screen for in a affected person once they have
neck surgical treatment? - ANS-***WRONG***A) Severe Headache
B) Tracheal Deviation
C) Sudden disorientation
D) Pain at incision web site
***WRONG***
When putting in place a morphine PCA pump for a 5'10'' woman patient convalescing from
hip surgical treatment who is 49 years vintage, a hundred and eighty lb, and has no history
of sleep apnea, what's an predicted four-hr dose limit? - ANS-***WRONG**A) five mg
B) 20 mg (probs correct)
C) 3 mg
D) 40 mg
***WRONG***
You are caring for a affected person within the PACU who changed into intubated and
acquired standard anesthesia during surgical treatment. Now extubated, the affected person
reviews feeling pain in their the front tooth. Upon inspection, the tooth seems unfastened.
What should you do? - ANS-A) Contact the anesthesia company and ask them to look at the
oral cavity (probs correct)
***WRONG***B) Review the preoperative documentation about the affected person's
dentition
C) Secure the enamel by packing folded or rolled gauze round it
D) Contact the surgical group and ask them to investigate the affected person's throat
***WRONG***
You are caring for a affected person whilst all of sudden their ECG screen indicates coarse
ventricular fibrillation. They end up unable to rouse and pulseless. What is the PRIORITY
intervention for this patient? - ANS-A) IV Epi
B) IV Amio
C) Chest compressions (probs correct)
****WRONG***D) Defib
***WRONG***
You observe a small quantity of blood in the tubing of a continuous regional nerve block.
What have to you do FIRST? - ANS-A) Look for signs and symptoms of anesthesia toxicity
B) Call anesthesia issuer
***WRONG***C) Asses affected person's crucial signs
***WRONG (no concept what accurate answer is)***
What drug is MOST effective in upper airway emergencies? - ANS-A) Terbutaline
B) Nebulized albuterol
***WRONG***C) Humidified oxygen
D) Racemic epinephrine
***WRONG (very stressed)***
You are being concerned for a affected person inside the PACU who is receiving an
interscalene block for an higher extremity operation. When assessing the affected person,
you discover bilateral numbness of the chest and neck. What have to you do NEXT? -
ANS-A) Clamp the infusion tubing
B) Stop the infusion pump
***WRONG***C) Double check the pump settings
D) Provide supplemental oxygen
***WRONG***
A affected person in phase 2 recovery has but to urinate after surgical operation. You take
the affected person to the toilet, and they're nonetheless not able to void. What ought to you
do FIRST? - ANS-***WRONG***A) Offer the patient a cup of water
B) Perform a bladder test (probs correct)
C) Document unable to void
D) Obtain an order for a catheter
***WRONG***
In PACU, upon reviewing the order for a PCA, you've got a query approximately it. Who
need to you contact? - ANS-***WRONG***A) Hospitalist
B) Anesthesiologist
C) Critical Care Intensivist
D) Surgeon
***WRONG***
There are 4 sufferers in PACU: a patient who received surgery to repair their maxilla bone
fracture, a patient recovering from esophageal resection for squamous cellular cancer, a
patient who is recuperating from surgical placement of a tracheostomy, and a affected
person who is improving from Roux-en Y gastric pass surgical treatment. For which of the
patient is the insertion of a nasopharyngeal airway contraindicated? - ANS-C) Maxilla bone
fracture (probs correct)
***WRONG*** D) Patient improving from tracheostomy
***WRONG***
What mixture of medications is an instance of multi-modal ache control? - ANS-A) IV PCA
morphine with IV fentanyl
***WRONG***B) Oral morphine ER and IV morphine
C) IV hydromorphone and IV acetaminophen (probs accurate, one is opioid, other is not)
D) IV hydromorphone and IV morphine
***WRONG***
, What instructions for care ought to you encompass whilst instructing a affected person about
their Penrose drain? - ANS-***WORNG***A) You could have vibrant crimson drainage from
the tube for numerous days
B) Change your dressing 2 instances an afternoon or whilst it turns into moist (very probs
accurate)
C) This drainage tube helps save you accumulation of bile
D) Remove the protection pin at the quit of the tube whilst you get home
***WRONG***
What is a physical manifestation of neuromuscular blockade (Roc, succinylcholine)? -
ANS-A) Decreased focus
B) Decreased pupillary mild reflex
C) Decreased respiratory effort
***WRONG***D) Decreased sensation of ache
***WRONG***
What signal or symptom must you carefully screen for in a affected person once they have
neck surgical treatment? - ANS-***WRONG***A) Severe Headache
B) Tracheal Deviation
C) Sudden disorientation
D) Pain at incision web site
***WRONG***
When putting in place a morphine PCA pump for a 5'10'' woman patient convalescing from
hip surgical treatment who is 49 years vintage, a hundred and eighty lb, and has no history
of sleep apnea, what's an predicted four-hr dose limit? - ANS-***WRONG**A) five mg
B) 20 mg (probs correct)
C) 3 mg
D) 40 mg
***WRONG***
You are caring for a affected person within the PACU who changed into intubated and
acquired standard anesthesia during surgical treatment. Now extubated, the affected person
reviews feeling pain in their the front tooth. Upon inspection, the tooth seems unfastened.
What should you do? - ANS-A) Contact the anesthesia company and ask them to look at the
oral cavity (probs correct)
***WRONG***B) Review the preoperative documentation about the affected person's
dentition
C) Secure the enamel by packing folded or rolled gauze round it
D) Contact the surgical group and ask them to investigate the affected person's throat
***WRONG***
You are caring for a affected person whilst all of sudden their ECG screen indicates coarse
ventricular fibrillation. They end up unable to rouse and pulseless. What is the PRIORITY
intervention for this patient? - ANS-A) IV Epi
B) IV Amio
C) Chest compressions (probs correct)
****WRONG***D) Defib
***WRONG***
You observe a small quantity of blood in the tubing of a continuous regional nerve block.
What have to you do FIRST? - ANS-A) Look for signs and symptoms of anesthesia toxicity
B) Call anesthesia issuer
***WRONG***C) Asses affected person's crucial signs
