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You are caring for a patient after placement of a percutaneous J tube. A student nurse asks
you, " Where does this tube go in the patient?" How should you answer?
***A) The tube is placed into the Jejunum
When caring for a patient who is recovering from placement of a new arteriovenous fistula in
their right arm, you observe the presence of mild edema at the site. What should you do?
, B) Elevate the right arm above the heart
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?
***C) Stop the propofol infusion
When caring for a patient who is receiving outpatient surgery, what is the BEST way to know
that a patient's post-operative blood pressure is sufficient for discharge to home?
***B) It is +/- 20% of baseline pre-operative levels
After surgery, a sleepy yet responsive patient with an intact gag reflex has a large amount of
salivary secretions. What should you do?
D) Insert an oral airway
Where is the phlebostatic axis for leveling the transducer of an arterial line?
***A) Fourth intercostal level at the midaxillary line
A carotid endarterectomy patient arrives to you in the PACU. What initial assessment is
MOST important?
***A) pupil checks
There are 4 patients in PACU: A patient who is alert but disoriented to time, a patient who
reports dizziness upon sitting upright, a patient who has partial return of sensation after
spinal, and a patient who is drowsy but awakens to touch. Which patient is MOST ready to
transfer to phase 2 post-anesthesia care?
B) The patient who is alert but disoriented to time
Your patient arrives to PACU with lactated ringer's ordered at 100ml/hr. Which pre-existing
condition would make you question this order?
***B) End Stage Renal Disease
While assessing your post-op patient with a new dialysis graft, what should the PACU nurse
monitor to evaluate the functionality of the graft?
***D) A palpable thrill and audible bruit
You are taking care of a 300lb male status post abdominal surgery, and he requests to be
repositioned. He is currently on a hover mat. What is the BEST way to achieve this?
***C) Wait for additional assistance before moving the patient
What is an example of Phase 1 discharge criteria?